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General NPI Number Information
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NPI Number | 1790081297
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Entity Type | Organization
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Legal Business Name | MIAMI BEACH COMMUNITY HEALTH CENTER PHARMACY INC
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 11645 BISCAYNE BLVD STE 102
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City | NORTH MIAMI
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State | FL
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Zip | 33181-3138
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Country | US
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Telephone | 305-538-8835
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Fax | 305-695-2168
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Provider Business Mailing Address
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Address Line | 11645 BISCAYNE BLVD STE 102
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City | NORTH MIAMI
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State | FL
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Zip | 33181-3138
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Country | US
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Telephone | 305-538-8835
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Fax | 305-695-2168
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MARK RABINOWITZ
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Credential | MD
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Telephone | 305-538-8835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH25380
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License Number State | FL
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