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General NPI Number Information
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NPI Number | 1780016709
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Entity Type | Organization
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Legal Business Name | TOPICAL SPECIALISTS, LLC
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 12276 SAN JOSE BLVD STE 212
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City | JACKSONVILLE
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State | FL
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Zip | 32223-8633
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Country | US
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Telephone | 904-886-2000
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Fax | 904-886-0002
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Provider Business Mailing Address
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Address Line | 12276 SAN JOSE BLVD STE 212
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City | JACKSONVILLE
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State | FL
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Zip | 32223-8628
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Country | US
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Telephone | 904-886-2000
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Fax | 904-886-0002
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Authorized Official
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Title or Position | DIR OF PHARMACY
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Name | RAKESH PATEL
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Credential |
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Telephone | 904-886-2000
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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 | PH26977
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License Number State | FL
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