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General NPI Number Information
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NPI Number | 1336318195
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Entity Type | Organization
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Legal Business Name | GULF COAST PHARMACY CONSULTANTS
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 2124 SW 11TH CT
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City | CAPE CORAL
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State | FL
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Zip | 33991-4501
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Country | US
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Telephone | 239-772-4339
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Fax |
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Provider Business Mailing Address
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Address Line | 2124 SW 11TH CT
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City | CAPE CORAL
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State | FL
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Zip | 33991-4501
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Country | US
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Telephone | 239-772-4339
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS E CUOMO
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Credential | CPRH
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Telephone | 239-772-4339
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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 | PU4286
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License Number State | FL
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