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General NPI Number Information
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NPI Number | 1578919767
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Entity Type | Organization
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Legal Business Name | HEPRO.US INC
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Dates
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Enumeration Date | 05/06/2016
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 325 E 10TH CT
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City | HIALEAH
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State | FL
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Zip | 33010-5150
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Country | US
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Telephone | 305-887-5977
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Fax |
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Provider Business Mailing Address
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Address Line | 325 E 10TH CT
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City | HIALEAH
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State | FL
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Zip | 33010-5150
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Country | US
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Telephone | 305-887-5977
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Fax |
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Authorized Official
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Title or Position | PURCHASE MANAGER
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Name | DR. KHALED ELHAGE
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Credential |
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Telephone | 786-610-8781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332100000X
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Taxonomy Name | Department of Veterans Affairs (VA) Pharmacy
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | FL
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