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General NPI Number Information
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NPI Number | 1528582889
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Entity Type | Organization
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Legal Business Name | GLOBAL REACH RX PBF
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Dates
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Enumeration Date | 07/28/2017
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Last Update Date | 11/20/2017
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Provider Practice Location Address
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Address Line | 10560 NW 27TH ST
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City | DORAL
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State | FL
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Zip | 33172-5928
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Country | US
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Telephone | 305-794-1375
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Fax |
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Provider Business Mailing Address
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Address Line | 10560 NW 27TH ST
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City | DORAL
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State | FL
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Zip | 33172-5928
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | JUDITH RIZO
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Credential |
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Telephone | 305-794-1375
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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 | PH30869
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License Number State | FL
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