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General NPI Number Information
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NPI Number | 1972775591
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Entity Type | Organization
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Legal Business Name | SPEEDY SCRIPTS III INC
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 960 NE 62ND ST
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City | FT LAUDERDALE
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State | FL
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Zip | 33334-4110
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Country | US
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Telephone | 954-202-1096
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Fax | 954-202-1097
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Provider Business Mailing Address
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Address Line | PO BOX 771266
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City | CORAL SPRINGS
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State | FL
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Zip | 33077-1266
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEAN FLEURANSTIN
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Credential |
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Telephone | 561-577-2135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH23120
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License Number State | FL
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