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General NPI Number Information
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NPI Number | 1831330687
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Entity Type | Organization
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Legal Business Name | KENDALL CHEMIST INC
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Dates
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Enumeration Date | 03/07/2009
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Last Update Date | 06/26/2009
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Provider Practice Location Address
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Address Line | 13170 SW 128TH ST SUITE 104
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City | MIAMI
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State | FL
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Zip | 33186-5845
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Country | US
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Telephone | 305-378-2134
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Fax | 305-259-7528
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Provider Business Mailing Address
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Address Line | 13170 SW 128TH ST SUITE 104
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City | MIAMI
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State | FL
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Zip | 33186-5845
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Country | US
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Telephone | 305-378-2134
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Fax | 305-259-7528
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Authorized Official
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Title or Position | VICEPRESIDENT
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Name | ANGEL A GONZALEZ
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Credential | VP
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Telephone | 305-378-2134
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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 | PH23707
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License Number State | FL
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