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General NPI Number Information
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NPI Number | 1316516602
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Entity Type | Organization
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Legal Business Name | ADVANCED SCRIPTS LLC
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Dates
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Enumeration Date | 06/21/2021
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Last Update Date | 06/21/2021
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Provider Practice Location Address
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Address Line | 2836 ENTERPRISE RD STE 5
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City | DEBARY
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State | FL
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Zip | 32713-5210
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Country | US
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Telephone | 386-845-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 2836 ENTERPRISE RD STE 5
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City | DEBARY
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State | FL
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Zip | 32713-5210
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Country | US
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Telephone | 386-845-1200
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. DINA IBRAHIM
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Credential | PHARM-D, BCPS,BCCCP
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Telephone | 407-580-3397
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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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