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General NPI Number Information
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NPI Number | 1811036544
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Entity Type | Organization
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Legal Business Name | MEDICAL OPTIONS, INC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3510 MONTLIMAR PLAZA DR SUITE 400
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City | MOBILE
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State | AL
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Zip | 36609-1745
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Country | US
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Telephone | 251-342-2701
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 294
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City | SAINT JAMES
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State | NY
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Zip | 11780-0294
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Country | US
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Telephone | 631-387-1587
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ROBERT FORTNEY
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Credential |
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Telephone | 631-387-1587
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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 | 112284
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License Number State | AL
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