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General NPI Number Information
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NPI Number | 1295618684
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Entity Type | Organization
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Legal Business Name | UNIVV 4 INC
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 6150 DIAMOND CENTRE CT UNIT 1302
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City | FORT MYERS
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State | FL
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Zip | 33912-4366
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Country | US
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Telephone | 239-230-7966
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Fax |
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Provider Business Mailing Address
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Address Line | 3923 KING WILLIAMS ST
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City | FORT MYERS
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State | FL
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Zip | 33916-4468
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Country | US
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Telephone | 443-366-4496
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANIL HARKHANI
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Credential |
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Telephone | 239-230-7966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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