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General NPI Number Information
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NPI Number | 1063712958
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Entity Type | Individual
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Provider Name | ROXANNE E BARON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 340 S STATE ROAD 434
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-3861
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Country | US
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Telephone | 407-788-8718
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Fax |
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Provider Business Mailing Address
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Address Line | 2013 NATALEN RD
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City | WINTER PARK
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State | FL
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Zip | 32792-5049
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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 | 43859
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License Number State | FL
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