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General NPI Number Information
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NPI Number | 1487193496
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Entity Type | Organization
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Legal Business Name | SMP PHARMACY SOLUTIONS LLC
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Dates
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Enumeration Date | 02/23/2017
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 6050 S DIXIE HWY
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5042
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Country | US
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Telephone | 786-361-1111
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Fax | 855-447-6637
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Provider Business Mailing Address
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Address Line | 6050 S DIXIE HWY
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5042
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Country | US
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Telephone | 786-361-1111
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Fax | 855-447-6637
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Authorized Official
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Title or Position | DATA & COMPLIANCE COORDINATOR
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Name | DANTES GUTIERREZ
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Credential |
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Telephone | 305-740-9696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PH25322
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License Number State | FL
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