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General NPI Number Information
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NPI Number | 1467539130
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Entity Type | Organization
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Legal Business Name | CND3 INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 01/14/2014
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Provider Practice Location Address
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Address Line | 228 US HIGHWAY 1
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City | LAKE PARK
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State | FL
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Zip | 33403-3552
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Country | US
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Telephone | 561-844-1191
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Fax | 561-842-1588
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Provider Business Mailing Address
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Address Line | 228 US HIGHWAY 1
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City | LAKE PARK
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State | FL
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Zip | 33403-3552
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Country | US
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Telephone | 561-844-1191
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Fax | 561-842-1588
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Authorized Official
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Title or Position | OWNER/VICE PRESIDENT
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Name | NIRAV PATEL
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Credential |
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Telephone | 561-844-1191
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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 | PH24323
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License Number State | FL
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