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General NPI Number Information
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NPI Number | 1760171581
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Entity Type | Organization
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Legal Business Name | UNIVV 3 INC
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 290 NICHOLAS PKWY NW STE 6
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City | CAPE CORAL
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State | FL
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Zip | 33991-3804
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Country | US
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Telephone | 201-344-6411
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Fax |
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Provider Business Mailing Address
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Address Line | 11918 BAY OAK DR
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City | FORT MYERS
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State | FL
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Zip | 33913-9376
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Country | US
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Telephone | 201-344-6411
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ PHARMACY MANAGER
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Name | HEMAL DESAI
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Credential |
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Telephone | 201-344-6411
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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 |
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License Number State |
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