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General NPI Number Information
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NPI Number | 1780158394
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Entity Type | Organization
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Legal Business Name | REMEDYS NUTRITION CV
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 01/16/2019
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Provider Practice Location Address
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Address Line | 7331 MIAMI LAKES DR
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City | MIAMI LAKES
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State | FL
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Zip | 33014
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Country | US
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Telephone | 305-400-8920
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Fax | 305-400-8919
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Provider Business Mailing Address
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Address Line | 7331 MIAMI LAKES DR
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City | MIAMI LAKES
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State | FL
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Zip | 33014
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Country | US
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Telephone | 305-400-8920
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Fax | 305-400-8919
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Authorized Official
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Title or Position | PRESIDENT/PIC
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Name | MR. ANTHONY MENDEZ
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Credential | RPH
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Telephone | 305-400-8920
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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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