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General NPI Number Information
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NPI Number | 1326438102
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Entity Type | Organization
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Legal Business Name | WINN DIXIE
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Dates
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Enumeration Date | 01/30/2015
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Last Update Date | 01/30/2015
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Provider Practice Location Address
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Address Line | 6400 MASSACHUSETTS AVE
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-2532
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Country | US
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Telephone | 727-841-8645
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Fax | 727-842-7916
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Provider Business Mailing Address
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Address Line | 6400 MASSACHUSETTS AVE
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-2532
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Country | US
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Telephone | 727-841-8645
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Fax | 727-842-7916
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Authorized Official
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Title or Position | PHARMACIST
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Name | MS. NURIA C RAMOS
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Credential | PHARMACIST
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Telephone | 727-841-8645
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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 | PS31452
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License Number State | FL
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