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General NPI Number Information
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NPI Number | 1790720977
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Entity Type | Organization
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Legal Business Name | METCARE RX ORANGE CITY PHARM SVC
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2742 ENTERPRISE RD B
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City | ORANGE CITY
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State | FL
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Zip | 32763-8353
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Country | US
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Telephone | 386-775-2255
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Fax | 386-775-6773
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Provider Business Mailing Address
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Address Line | 2742 ENTERPRISE RD B
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City | ORANGE CITY
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State | FL
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Zip | 32763-8353
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SENIOR VP CORP REVENUE
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Name | GINA HUNT
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Credential |
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Telephone | 954-653-1040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | PH20835
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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