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General NPI Number Information
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NPI Number | 1669797569
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Entity Type | Organization
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Legal Business Name | AVS PHARMA LLC
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Dates
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Enumeration Date | 04/02/2010
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Last Update Date | 07/01/2021
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Provider Practice Location Address
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Address Line | 7535 MEDICAL DR UNIT 1
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City | HUDSON
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State | FL
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Zip | 34667-6502
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Country | US
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Telephone | 727-869-3784
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Fax | 727-869-3783
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Provider Business Mailing Address
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Address Line | 7535 MEDICAL DR UNIT 1
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City | HUDSON
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State | FL
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Zip | 34667-6502
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Country | US
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Telephone | 727-869-3784
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Fax | 727-869-3783
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Authorized Official
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Title or Position | MGRM
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Name | MIRAL PATEL
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Credential |
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Telephone | 727-793-7672
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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 | PH24563
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License Number State | FL
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