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General NPI Number Information
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NPI Number | 1861017592
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Entity Type | Organization
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Legal Business Name | MANAGED CARE MED SOLUTIONS, INC
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 1436 MENDAVIA AVE
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City | CORAL GABLES
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State | FL
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Zip | 33146-1608
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Country | US
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Telephone | 305-951-8675
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Fax |
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Provider Business Mailing Address
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Address Line | 1436 MENDAVIA AVE
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City | CORAL GABLES
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State | FL
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Zip | 33146-1608
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. EDUARDO LOPEZ
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Credential | PHARMD
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Telephone | 305-951-8675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number |
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License Number State |
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