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General NPI Number Information
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NPI Number | 1356774012
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Entity Type | Organization
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Legal Business Name | AYERS QUICK PERSONAL PERSCRIPTION PICK UP/ DELVERY SERVICE NC
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Dates
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Enumeration Date | 08/16/2013
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Last Update Date | 04/17/2015
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Provider Practice Location Address
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Address Line | 1469 VALLEY GREEN DR
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City | TALLAHASSEE
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State | FL
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Zip | 32303-3350
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Country | US
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Telephone | 850-727-4658
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Fax |
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Provider Business Mailing Address
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Address Line | 1469 VALLEY GREEN DR
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City | TALLAHASSEE
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State | FL
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Zip | 32303-3350
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Country | US
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Telephone | 850-727-4658
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. MONICA L AYERS
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Credential | RPT 46163, CPHT
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Telephone | 850-727-4658
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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 | RPT 465163,CPHT
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | RPT 46163,CPHT
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License Number State | FL
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