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General NPI Number Information
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NPI Number | 1023321957
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Entity Type | Individual
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Provider Name | MICHAEL A CARBONE R.PH.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2010
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 9101 LAKERIDGE BLVD SUITE #10
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City | BOCA RATON
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State | FL
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Zip | 33496-2181
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Country | US
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Telephone | 561-487-9260
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Fax | 561-488-6333
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Provider Business Mailing Address
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Address Line | 18560 HARBOR LIGHT WAY
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City | BOCA RATON
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State | FL
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Zip | 33498-4928
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Country | US
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Telephone | 561-789-3935
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Fax | 561-488-6333
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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 | PS23397
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20925
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI01961800
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH21871
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17399
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 036695-1
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License Number State | NY
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