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NPI 1033753827

NPI 1033753827 : ANTHONETTE SIGNAP CABILI PHARMD : LAKE WALES, FL

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General NPI Number Information
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    NPI Number           |    1033753827
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    Entity Type          |    Individual 
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    Provider Name        |    ANTHONETTE SIGNAP CABILI PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/05/2019
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    Last Update Date     |    11/05/2019
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Provider Practice Location Address
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    Address Line         |    1110 DRUID CIR STE E 
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    City                 |    LAKE WALES
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    State                |    FL
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    Zip                  |    33853-4307
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    Country              |    US
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    Telephone            |    863-223-8864
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11452 114TH AVE 
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    City                 |    LARGO
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    State                |    FL
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    Zip                  |    33778-3022
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    Country              |    US
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    Telephone            |    
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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       |    PS59780
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    License Number State |    FL
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