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General NPI Number Information
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NPI Number | 1316685613
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Entity Type | Individual
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Provider Name | JIMMY HUANG
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Gender | Male
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Dates
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Enumeration Date | 05/25/2022
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 4300 ALTON RD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2948
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Country | US
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Telephone | 305-674-2510
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Fax |
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Provider Business Mailing Address
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Address Line | 220 NW 32ND PL
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City | MIAMI
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State | FL
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Zip | 33125-4919
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Country | US
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Telephone | 305-333-3935
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS61168
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License Number State | FL
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