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General NPI Number Information
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NPI Number | 1851632970
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Entity Type | Organization
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Legal Business Name | JONELEEN LLC
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Dates
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Enumeration Date | 03/14/2013
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 10101 CORTEZ BLVD
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City | BROOKSVILLE
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State | FL
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Zip | 34613
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Country | US
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Telephone | 352-597-0017
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Fax | 352-597-0019
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Provider Business Mailing Address
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Address Line | 10101 CORTEZ BLVD
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City | WEEKI WACHEE
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State | FL
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Zip | 34613-6380
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Country | US
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Telephone | 352-597-0017
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Fax | 352-597-0019
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Authorized Official
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Title or Position | MANAGER
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Name | DANIEL MUSCA
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Credential |
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Telephone | 813-803-7303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH26746
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License Number State | FL
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