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General NPI Number Information
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NPI Number | 1992860209
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF MIAMI STUDENT HEALTH PHARMACY
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 07/30/2007
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Provider Practice Location Address
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Address Line | 5513 MERRICK DR
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City | CORAL GABLES
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State | FL
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Zip | 33156
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Country | US
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Telephone | 305-284-5922
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Fax | 305-284-4883
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Provider Business Mailing Address
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Address Line | 5513 MERRICK DR
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City | CORAL GABLES
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State | FL
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Zip | 33156
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Country | US
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Telephone | 305-284-4118
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Fax | 305-284-4883
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MRS. SONIA R MORA
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Credential | RPH
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Telephone | 305-284-5922
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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 | PS016413
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License Number State | FL
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