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General NPI Number Information
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NPI Number | 1669688842
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Entity Type | Organization
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Legal Business Name | POC NETWORK TECHNOLOGIES, LLC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 5975 SUNSET DRIVE, SUITE 501
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City | SOUTH MIAMI
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State | FL
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Zip | 33143
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Country | US
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Telephone | 305-853-8121
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Fax |
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Provider Business Mailing Address
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Address Line | 5975 SUNSET DRIVE, SUITE 501
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City | SOUTH MIAMI
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State | FL
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Zip | 33143
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Country | US
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Telephone | 305-853-8121
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. KRAIG MCEWEN
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Credential |
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Telephone | 412-979-0492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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