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General NPI Number Information
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NPI Number | 1447674304
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Entity Type | Organization
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Legal Business Name | JULIUS HOLDINGS, LLC
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Dates
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Enumeration Date | 02/13/2014
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Last Update Date | 02/13/2014
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Provider Practice Location Address
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Address Line | 13244 TELECOM DR
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City | TAMPA
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State | FL
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Zip | 33637-0932
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Country | US
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Telephone | 813-410-0029
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Fax |
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Provider Business Mailing Address
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Address Line | 13244 TELECOM DR
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City | TEMPLE TERRACE
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State | FL
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Zip | 33637-0932
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Country | US
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Telephone | 813-410-0029
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Fax |
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Authorized Official
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Title or Position | C.E.O
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Name | WALE JULIUS
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Credential |
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Telephone | 813-758-4867
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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 | PH27293
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License Number State | FL
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