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General NPI Number Information
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NPI Number | 1508316043
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Entity Type | Organization
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Legal Business Name | SBC HEALTH INC
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Dates
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Enumeration Date | 10/07/2016
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Last Update Date | 10/07/2016
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Provider Practice Location Address
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Address Line | 8166 JAMESTOWN DR CARLTON ARMS
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City | WINTER HAVEN
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State | FL
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Zip | 33884-4813
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Country | US
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Telephone | 321-666-3334
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Fax |
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Provider Business Mailing Address
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Address Line | 3907 E HILLSBOROUGH AVE
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City | TAMPA
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State | FL
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Zip | 33610-4541
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Country | US
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Telephone | 321-666-3334
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ST EUCHERIUS ALEXANDER DUNCAN
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Credential |
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Telephone | 321-666-3334
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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 | 3336C0003X
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License Number State | FL
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