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General NPI Number Information
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NPI Number | 1568049914
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Entity Type | Organization
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Legal Business Name | AUBURNDALE FAMILY PHARMACY INC
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 03/27/2021
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Provider Practice Location Address
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Address Line | 382 HAVENDALE BLVD
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City | AUBURNDALE
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State | FL
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Zip | 33823-4527
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Country | US
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Telephone | 863-603-8104
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Fax |
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Provider Business Mailing Address
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Address Line | 1044 STONEY CREEK DR
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City | LAKELAND
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State | FL
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Zip | 33811-2329
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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 | PDM
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Name | KULMEET SINGH BINDRA
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Credential | PHARMACIST
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Telephone | 850-501-3750
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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 |
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License Number State |
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