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General NPI Number Information
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NPI Number | 1750478970
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Entity Type | Organization
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Legal Business Name | UNIVERSAL RX OPTIONS, LLC
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4401 S ORANGE AVE SUITE 107
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City | ORLANDO
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State | FL
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Zip | 32806-6946
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Country | US
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Telephone | 407-859-9333
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Fax | 407-859-3220
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Provider Business Mailing Address
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Address Line | 4401 S ORANGE AVE SUITE 107
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City | ORLANDO
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State | FL
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Zip | 32806-6946
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Country | US
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Telephone | 407-859-9333
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Fax | 407-859-3220
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Authorized Official
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Title or Position | COO
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Name | DR. LESLI M. LEIMER
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Credential | PHARM.D.
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Telephone | 407-859-9333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS33516
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License Number State | FL
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