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General NPI Number Information
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NPI Number | 1326472747
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Entity Type | Organization
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Legal Business Name | RUSH FAMILY CARE INC.
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Dates
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Enumeration Date | 08/22/2013
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Last Update Date | 08/22/2013
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Provider Practice Location Address
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Address Line | 11115 SW 93RD COURT RD UNIT #300
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City | OCALA
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State | FL
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Zip | 34481-3103
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Country | US
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Telephone | 352-291-0177
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Fax | 352-291-0199
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Provider Business Mailing Address
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Address Line | 5070 SW 63RD LOOP
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City | OCALA
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State | FL
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Zip | 34474-5764
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Country | US
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Telephone | 352-361-4436
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | ROBINS ABRAHAM
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Credential |
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Telephone | 352-361-4436
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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 | PH 27009
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License Number State | FL
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