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General NPI Number Information
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NPI Number | 1942339726
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Entity Type | Organization
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Legal Business Name | JELMA CORPORATION
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 13379 SW 42ND ST
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City | MIAMI
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State | FL
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Zip | 33175-3204
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Country | US
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Telephone | 305-223-4949
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Fax | 305-225-5201
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Provider Business Mailing Address
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Address Line | 13379 SW 42ND ST
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City | MIAMI
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State | FL
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Zip | 33175-3204
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Country | US
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Telephone | 305-223-4949
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Fax | 305-225-5201
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | NADIA GARCIA
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Credential |
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Telephone | 305-223-4949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH10142
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License Number State | FL
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