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General NPI Number Information
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NPI Number | 1538520234
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Entity Type | Organization
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Legal Business Name | MPAM LLC
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Dates
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Enumeration Date | 03/09/2016
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 696 E ALTAMONTE DR SUITE#1060
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-4831
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Country | US
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Telephone | 407-901-7777
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Fax | 407-901-7777
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Provider Business Mailing Address
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Address Line | 696 EAST ALTAMONTE DR, SUITE 1060
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City | APOPKA
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State | FL
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Zip | 32703-6866
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Country | US
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Telephone | 407-901-7777
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Fax | 407-901-7777
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Authorized Official
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Title or Position | MANAGER
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Name | MR. MAKRAM KADOUS
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Credential |
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Telephone | 407-617-2000
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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 | PH29943
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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