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General NPI Number Information
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NPI Number | 1801301478
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Entity Type | Organization
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Legal Business Name | PHARMACY SERVICES GROUP OF AMERICA,INC
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Dates
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Enumeration Date | 12/05/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 500 SEMORAN BLVD STE 2066
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City | CASSELBERRY
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State | FL
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Zip | 32707-5387
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Country | US
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Telephone | 407-383-3301
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Fax | 888-609-7228
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Provider Business Mailing Address
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Address Line | 77 CYPRESS LN
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City | MAITLAND
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State | FL
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Zip | 32751-5809
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Country | US
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Telephone | 407-383-3301
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Fax | 888-609-7228
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Authorized Official
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Title or Position | PRESIDENT
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Name | MEHRDAD HARIRI
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Credential | RPH
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Telephone | 407-383-3301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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