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General NPI Number Information
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NPI Number | 1366778532
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Entity Type | Organization
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Legal Business Name | HMVN LLC
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Dates
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Enumeration Date | 10/23/2009
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Last Update Date | 02/09/2011
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Provider Practice Location Address
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Address Line | 7230 US HIGHWAY 301 S SUITE 1
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City | RIVERVIEW
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State | FL
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Zip | 33578-4387
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Country | US
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Telephone | 813-443-7466
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Fax | 813-443-7468
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Provider Business Mailing Address
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Address Line | 7230 US HIGHWAY 301 S SUITE 1
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City | RIVERVIEW
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State | FL
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Zip | 33578-4387
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Country | US
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Telephone | 813-443-7466
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Fax | 813-443-7468
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Authorized Official
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Title or Position | RX MANAGER / PHARMACIST
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Name | KAMAL PATEL
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Credential |
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Telephone | 813-443-4766
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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 | PH24312
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License Number State | FL
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