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General NPI Number Information
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NPI Number | 1659690360
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Entity Type | Organization
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Legal Business Name | SMZA ENTERPRISES LLC
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Dates
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Enumeration Date | 05/19/2010
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Last Update Date | 02/06/2020
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Provider Practice Location Address
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Address Line | 754 S GOLDENROD RD
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City | ORLANDO
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State | FL
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Zip | 32822-8108
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Country | US
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Telephone | 407-347-2463
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Fax | 407-243-2223
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Provider Business Mailing Address
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Address Line | 754 S GOLDENROD RD
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City | ORLANDO
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State | FL
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Zip | 32822-8108
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Country | US
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Telephone | 407-243-2513
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Fax | 407-243-2223
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | BEHROOZ SOJERI
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Credential |
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Telephone | 407-243-2513
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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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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH24767
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License Number State | FL
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