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General NPI Number Information
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NPI Number | 1730183310
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Entity Type | Organization
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Legal Business Name | INTRAMED INC
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 6950 CYPRESS RD STE 105
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City | PLANTATION
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State | FL
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Zip | 33317-2361
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Country | US
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Telephone | 866-999-0904
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Fax | 866-999-0905
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Provider Business Mailing Address
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Address Line | 6950 CYPRESS RD SUITE 105
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City | PLANTATION
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State | FL
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Zip | 33317-2382
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Country | US
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Telephone | 954-316-5054
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Fax | 954-797-9205
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAWRENCE PIZIK
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Credential |
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Telephone | 984-214-7982
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH18245
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License Number State | FL
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