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General NPI Number Information
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NPI Number | 1033654777
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Entity Type | Individual
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Provider Name | SHAKIYLA HAUGABOOK BS, PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/05/2017
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 3184 S CONGRESS AVE
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City | PALM SPRINGS
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State | FL
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Zip | 33461-2552
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Country | US
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Telephone | 561-968-8211
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Fax |
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Provider Business Mailing Address
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Address Line | 963 S MILITARY TRL
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-3909
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Country | US
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Telephone | 561-615-0543
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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 | PS55970
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License Number State | FL
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