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General NPI Number Information
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NPI Number | 1912548769
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Entity Type | Organization
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Legal Business Name | HEALTH ACCESS RX SERVICES
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Dates
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Enumeration Date | 10/03/2019
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 10000 GATE PKWY N APT 225
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City | JACKSONVILLE
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State | FL
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Zip | 32246-8206
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Country | US
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Telephone | 352-584-0563
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Fax |
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Provider Business Mailing Address
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Address Line | 10000 GATE PKWY N APT 225
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City | JACKSONVILLE
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State | FL
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Zip | 32246-8206
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Country | US
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Telephone | 352-584-0563
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KYLE NEAL
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Credential | PHARMD
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Telephone | 352-584-0563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 3336C0004X
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Taxonomy Name | Compounding 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 | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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