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General NPI Number Information
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NPI Number | 1447454483
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Entity Type | Individual
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Provider Name | EDDIE NMN MCCORVEY JR. PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 99434 OVERSEAS HWY
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City | KEY LARGO
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State | FL
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Zip | 33037-2459
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Country | US
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Telephone | 305-451-3261
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Fax |
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Provider Business Mailing Address
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Address Line | 1671 SW 159TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-2343
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Country | US
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Telephone | 954-430-7321
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PS 15158
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License Number State | FL
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