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General NPI Number Information
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NPI Number | 1568461937
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Entity Type | Organization
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Legal Business Name | PULMONARY PRESCRIPTION PROVIDERS
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 03/28/2008
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Provider Practice Location Address
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Address Line | 3129 W HALLANDALE BEACH BLVD
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5121
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Country | US
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Telephone | 954-966-6730
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Fax | 954-966-6771
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Provider Business Mailing Address
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Address Line | 3129 W HALLANDALE BEACH BLVD
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-5121
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Country | US
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Telephone | 954-966-6730
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Fax | 954-966-6771
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARJORIE HELFAN
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Credential |
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Telephone | 954-966-6730
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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 | PH 10999
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License Number State | FL
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