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General NPI Number Information
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NPI Number | 1023587789
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Entity Type | Individual
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Provider Name | KATHERINE PERAZA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/24/2018
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Last Update Date | 11/24/2018
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Provider Practice Location Address
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Address Line | 15518 NW 77TH CT
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5804
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Country | US
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Telephone | 305-823-3461
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Fax |
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Provider Business Mailing Address
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Address Line | 4701 SW 186TH WAY
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City | MIRAMAR
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State | FL
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Zip | 33029-6229
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Country | US
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Telephone | 305-606-4120
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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 | PS58601
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License Number State | FL
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