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General NPI Number Information
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NPI Number | 1952374191
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Entity Type | Individual
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Provider Name | ALLAN H CHEIKEN BSC PHARMACY
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Gender | Male
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2104 MASSEY AVE
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City | MAYPORT
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State | FL
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Zip | 32228
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Country | US
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Telephone | 904-270-4205
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Fax | 904-270-4454
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Provider Business Mailing Address
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Address Line | 10107 LEISURE LN N
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7189
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Country | US
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Telephone | 904-374-6006
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | RP025335L
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License Number State | PA
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