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General NPI Number Information
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NPI Number | 1831292622
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Entity Type | Organization
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Legal Business Name | NIPRO DIABETES SYSTEMS
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 3361 ENTERPRISE WAY
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City | MIRAMAR
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State | FL
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Zip | 33025-3932
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Country | US
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Telephone | 954-435-5665
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Fax | 954-241-0831
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Provider Business Mailing Address
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Address Line | 3361 ENTERPRISE WAY
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City | MIRAMAR
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State | FL
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Zip | 33025-3932
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Country | US
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Telephone | 954-435-5665
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Fax | 954-241-0831
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MR. IRA SCHULMAN
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Credential |
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Telephone | 954-435-5665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH 21268
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 07 547
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License Number State | FL
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