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General NPI Number Information
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NPI Number | 1932429271
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Entity Type | Organization
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Legal Business Name | VILLAGE CLINIC AND RX LLC
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Dates
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Enumeration Date | 06/09/2010
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Last Update Date | 09/11/2014
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Provider Practice Location Address
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Address Line | 2134 GULF GATE DR
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City | SARASOTA
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State | FL
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Zip | 34231-4813
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Country | US
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Telephone | 941-493-6500
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Fax | 941-493-6552
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Provider Business Mailing Address
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Address Line | 2134 GULF GATE DR
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City | SARASOTA
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State | FL
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Zip | 34231-4813
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Country | US
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Telephone | 941-493-6500
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Fax | 941-493-6552
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | MR. MICHAEL SCHER
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Credential |
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Telephone | 941-493-6500
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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 |
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License Number State |
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