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General NPI Number Information
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NPI Number | 1598474017
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Entity Type | Organization
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Legal Business Name | EXCEL PHARMACY PARTNERS LLC
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Dates
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Enumeration Date | 11/23/2022
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Last Update Date | 11/23/2022
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Provider Practice Location Address
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Address Line | 6817 SOUTHPOINT PKWY STE 2204
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City | JACKSONVILLE
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State | FL
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Zip | 32216-8200
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Country | US
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Telephone | 904-800-2285
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Fax | 904-813-7905
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Provider Business Mailing Address
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Address Line | 6817 SOUTHPOINT PKWY STE 2204
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City | JACKSONVILLE
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State | FL
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Zip | 32216-8200
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Country | US
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Telephone | 904-800-2285
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Fax | 904-813-7905
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Authorized Official
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Title or Position | MANAGER
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Name | MARC EISENMANN
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Credential |
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Telephone | 201-344-3691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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