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NPI 1477109973

NPI 1477109973 : TAJJ MULTISERVICES LLC : FORT LAUDERDALE, FL

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General NPI Number Information
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    NPI Number           |    1477109973
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    Entity Type          |    Organization 
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    Legal Business Name  |    TAJJ MULTISERVICES LLC 
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Dates
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    Enumeration Date     |    08/12/2019
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    Last Update Date     |    08/12/2019
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Provider Practice Location Address
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    Address Line         |    3338 NE 34TH ST 
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33308-6906
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    Country              |    US
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    Telephone            |    954-741-4000
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    Fax                  |    954-741-4777
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Provider Business Mailing Address
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    Address Line         |    3338 NE 34TH ST 
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33308-6906
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    Country              |    US
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    Telephone            |    954-741-4000
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    Fax                  |    954-741-4777
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Authorized Official
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    Title or Position    |    PHARMCIST
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    Name                 |     TEMITOPE AYOOLUWA EPOYUN 
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    Credential           |    
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    Telephone            |    954-741-4000
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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       |    
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    License Number State |    
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