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General NPI Number Information
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NPI Number | 1083261275
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Entity Type | Individual
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Provider Name | TERYN ACQUAVIVA
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Gender | Female
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Dates
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Enumeration Date | 08/22/2019
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Last Update Date | 08/22/2019
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Provider Practice Location Address
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Address Line | 5881 N UNIVERSITY DR
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City | TAMARAC
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State | FL
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Zip | 33321-4618
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Country | US
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Telephone | 954-721-8026
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Fax |
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Provider Business Mailing Address
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Address Line | 2110 NE 41ST ST APT A
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City | LIGHTHOUSE POINT
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State | FL
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Zip | 33064-7398
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Country | US
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Telephone | 954-980-2691
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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 | PS59669
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License Number State | FL
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