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General NPI Number Information
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NPI Number | 1417265265
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Entity Type | Organization
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Legal Business Name | EZ CARE PHARMACY INC
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 07/07/2015
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Provider Practice Location Address
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Address Line | 3353 SHERIDAN ST STE D
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3632
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Country | US
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Telephone | 954-981-0614
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Fax | 954-981-0663
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Provider Business Mailing Address
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Address Line | 3353 SHERIDAN ST STE D
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3632
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Country | US
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Telephone | 954-981-0614
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Fax | 954-981-0663
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Authorized Official
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Title or Position | OWNER
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Name | ARTUR KRASNOPOLSKIY
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Credential |
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Telephone | 718-314-3282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PH25248
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PH24872
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH24872
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License Number State | FL
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