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General NPI Number Information
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NPI Number | 1356701981
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Entity Type | Organization
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Legal Business Name | MAXIMIZE WITHIN
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Dates
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Enumeration Date | 02/24/2016
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Last Update Date | 02/24/2016
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Provider Practice Location Address
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Address Line | 12277 SW 55TH ST SUITE 908
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City | COOPER CITY
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State | FL
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Zip | 33330-3311
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Country | US
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Telephone | 754-206-2934
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Fax |
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Provider Business Mailing Address
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Address Line | 2114 N FLAMINGO RD SUITE 202
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-3501
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Country | US
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Telephone | 754-206-2934
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MR. CARLTON BRANKER
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Credential |
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Telephone | 954-557-4016
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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 | PH29760
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License Number State | FL
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