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General NPI Number Information
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NPI Number | 1790757508
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Entity Type | Organization
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Legal Business Name | SOUTHWEST FLORIDA INFUSION CARE INC
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 06/01/2015
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Provider Practice Location Address
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Address Line | 3340 FAIRLANE FARMS RD. STE 4
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City | WELLINGTON
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State | FL
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Zip | 33414
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Country | US
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Telephone | 561-469-1181
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Fax | 561-469-1182
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Provider Business Mailing Address
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Address Line | 3340 FAIRLANE FARMS RD STE 4
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City | WELLINGTON
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State | FL
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Zip | 33414
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Country | US
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Telephone | 561-469-1181
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Fax | 561-469-1182
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | MERDEN RABIEIFAR
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Credential | PHARM D
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Telephone | 561-876-4043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State | FL
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