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General NPI Number Information
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NPI Number | 1730501396
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Entity Type | Organization
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Legal Business Name | ARRIVA MEDICAL, LLC
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 500 EAGLES LANDING DR SUITE B
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City | LAKELAND
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State | FL
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Zip | 33810-2899
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Country | US
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Telephone | 866-336-4103
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Fax | 954-400-5423
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Provider Business Mailing Address
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Address Line | 4252 NW 120TH AVE
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-7603
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Country | US
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Telephone | 800-700-4442
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Fax | 954-400-5423
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM STOCKSDALE
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Credential |
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Telephone | 954-864-2005
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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 | PH 27239
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License Number State | FL
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