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General NPI Number Information
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NPI Number | 1295012466
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Entity Type | Organization
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Legal Business Name | LILDARLIN INVESTMENTS INC
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Dates
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Enumeration Date | 11/15/2011
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Last Update Date | 09/28/2015
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Provider Practice Location Address
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Address Line | 1542 LAKEVIEW DR STE 1
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City | SEBRING
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State | FL
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Zip | 33870-7957
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Country | US
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Telephone | 863-385-2200
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Fax | 863-385-2225
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Provider Business Mailing Address
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Address Line | 4640 NADENA DR
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City | SEBRING
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State | FL
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Zip | 33872-1779
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Country | US
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Telephone | 863-458-2222
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Fax | 863-658-2730
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMMANUEL WIAFE
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Credential |
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Telephone | 863-458-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH25646
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License Number State | FL
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