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General NPI Number Information
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NPI Number | 1972739068
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Entity Type | Organization
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Legal Business Name | MEDS RX PHARMACY LLC
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Dates
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Enumeration Date | 06/03/2009
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Last Update Date | 04/20/2015
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Provider Practice Location Address
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Address Line | 600 S DIXIE HWY STE 106
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City | BOCA RATON
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State | FL
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Zip | 33432-6034
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Country | US
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Telephone | 954-729-6596
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4097
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-4097
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Country | US
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Telephone | 954-729-6596
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Fax |
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Authorized Official
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Title or Position | P
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Name | STEVENSON JEAN-MARY
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Credential |
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Telephone | 954-729-6596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PH24081
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License Number State | FL
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