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General NPI Number Information
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NPI Number | 1588713465
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Entity Type | Organization
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Legal Business Name | MIAMI SPRINGS PHARMACY
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 45 CURTISS PKWY
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-5218
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Country | US
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Telephone | 305-888-5259
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Fax | 305-863-9618
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Provider Business Mailing Address
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Address Line | 45 CURTISS PKWY
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-5218
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Country | US
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Telephone | 305-888-5259
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Fax | 305-863-9618
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CAROL E DODGEN
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Credential |
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Telephone | 305-888-5259
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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 | PH20937
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License Number State | FL
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