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General NPI Number Information
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NPI Number | 1841570454
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Entity Type | Individual
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Provider Name | JEFFREY M KUPIEC RPH
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Gender | Male
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Dates
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Enumeration Date | 08/26/2011
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Last Update Date | 08/26/2011
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Provider Practice Location Address
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Address Line | 4601 N STATE ROAD 7
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4303
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Country | US
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Telephone | 954-345-4456
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Fax | 954-345-5138
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Provider Business Mailing Address
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Address Line | 4601 N STATE ROAD 7
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4303
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Country | US
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Telephone | 954-345-4456
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Fax | 954-345-5138
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS31281
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License Number State | FL
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