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General NPI Number Information
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NPI Number | 1912016940
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Entity Type | Organization
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Legal Business Name | ACARIAHEALTH PHARMACY, INC.
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 05/18/2017
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Provider Practice Location Address
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Address Line | 8505 ARLINGTON BLVD SUITE 110
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City | FAIRFAX
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State | VA
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Zip | 22031-4621
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Country | US
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Telephone | 703-846-9912
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Fax | 703-846-4998
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Provider Business Mailing Address
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Address Line | 6923 LEE VISTA BLVD., SUITE 300
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City | ORLANDO
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State | FL
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Zip | 32822-4701
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Country | US
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Telephone | 407-903-1308
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Fax | 407-903-1323
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Authorized Official
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Title or Position | CFO
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Name | MR. STEPHEN D. JENSEN
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Credential |
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Telephone | 407-903-1335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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