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General NPI Number Information
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NPI Number | 1992943310
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Entity Type | Organization
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Legal Business Name | TVPHARMACIST LLC
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Dates
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Enumeration Date | 01/22/2009
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Last Update Date | 09/30/2010
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Provider Practice Location Address
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Address Line | 9011 PARK BLVD STE 206
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City | SEMINOLE
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State | FL
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Zip | 33777-4123
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Country | US
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Telephone | 727-398-1492
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Fax | 727-342-5850
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Provider Business Mailing Address
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Address Line | 9011 PARK BLVD STE 206
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City | SEMINOLE
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State | FL
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Zip | 33777-4123
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Country | US
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Telephone | 727-398-1492
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Fax | 727-342-5850
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Authorized Official
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Title or Position | PREDSIDENT
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Name | ALPESH PATEL
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Credential |
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Telephone | 248-421-8267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PH23766
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License Number State | FL
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