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General NPI Number Information
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NPI Number | 1609054808
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Entity Type | Organization
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Legal Business Name | MEDICAL ARTS PHARMACY SERVICES
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 05/14/2015
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Provider Practice Location Address
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Address Line | 10412 W ATLANTIC BLVD
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-5605
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Country | US
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Telephone | 954-541-8201
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Fax | 954-827-0616
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Provider Business Mailing Address
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Address Line | 10412 W ATLANTIC BLVD
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-5605
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Country | US
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Telephone | 954-541-8201
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Fax | 954-827-0616
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Authorized Official
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Title or Position | CEO
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Name | LANCELOT JAMES
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Credential |
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Telephone | 954-541-8201
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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 | PH22434
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License Number State | FL
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