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General NPI Number Information
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NPI Number | 1063057321
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Entity Type | Individual
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Provider Name | KATIE JIALIN LI FERRARO PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 11/11/2019
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Last Update Date | 11/11/2019
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Provider Practice Location Address
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Address Line | 100 N MIRAMAR AVE
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City | INDIALANTIC
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State | FL
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Zip | 32903-3120
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Country | US
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Telephone | 321-724-5634
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Fax |
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Provider Business Mailing Address
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Address Line | 315 LAGO CIR APT 106
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City | WEST MELBOURNE
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State | FL
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Zip | 32904-3213
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Country | US
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Telephone | 407-417-0934
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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 | 60219
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License Number State | FL
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