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General NPI Number Information
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NPI Number | 1740583798
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Entity Type | Organization
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Legal Business Name | COFII CORPORATION
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 2202 W CHARLESTON BLVD #13
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City | LAS VEGAS
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State | NV
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Zip | 89102-2232
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Country | US
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Telephone | 702-384-3784
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Fax | 702-383-5903
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Provider Business Mailing Address
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Address Line | 2202 W CHARLESTON BLVD #13
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City | LAS VEGAS
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State | NV
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Zip | 89102-2232
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Country | US
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Telephone | 702-384-3784
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Fax | 702-383-5903
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROCKELL HANKIN
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Credential |
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Telephone | 310-556-4422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PH02132
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License Number State | NV
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