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General NPI Number Information
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NPI Number | 1013650381
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Entity Type | Individual
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Provider Name | JOANNE MARIE BERTOT COTTO PHARM D
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Gender | Female
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Dates
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Enumeration Date | 04/15/2022
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Last Update Date | 04/15/2022
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Provider Practice Location Address
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Address Line | 101 N. DIXIE HWY.
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City | LAKE WORTH
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State | FL
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Zip | 33460
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Country | US
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Telephone | 561-547-5289
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Fax |
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Provider Business Mailing Address
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Address Line | 6698 POINTE OF WOODS DR.
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City | WEST PALM BEACH
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State | FL
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Zip | 33413
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Country | US
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Telephone | 518-915-0802
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PS61892
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License Number State | FL
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