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General NPI Number Information
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NPI Number | 1992786495
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Entity Type | Organization
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Legal Business Name | ACARIAHEALTH PHARMACY 13 INC
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 08/21/2022
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Provider Practice Location Address
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Address Line | 3302 GARFIELD AVE
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City | COMMERCE
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State | CA
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Zip | 90040
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Country | US
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Telephone | 323-262-9403
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Fax | 866-834-8523
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Provider Business Mailing Address
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Address Line | 8517 SOUTHPARK CIR STE 200
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City | ORLANDO
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State | FL
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Zip | 32819-9033
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Country | US
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Telephone | 855-422-2742
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Fax | 866-834-8523
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN JENSEN
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Credential |
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Telephone | 800-511-5144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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