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General NPI Number Information
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NPI Number | 1326462946
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Entity Type | Organization
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Legal Business Name | GENERIC SPECIALTIES INC
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 02/18/2014
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Provider Practice Location Address
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Address Line | 1701 ACME ST
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City | ORLANDO
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State | FL
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Zip | 32805-3603
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Country | US
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Telephone | 407-445-9581
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Fax |
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Provider Business Mailing Address
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Address Line | 8007 HORSE FERRY RD
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City | ORLANDO
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State | FL
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Zip | 32835-5977
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Country | US
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Telephone | 407-445-9581
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ASHWIN ARVIND MEHTA
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Credential |
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Telephone | 407-445-9581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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