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General NPI Number Information
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NPI Number | 1093083917
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Entity Type | Individual
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Provider Name | JENNIFER A TRIBBEY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/06/2011
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Last Update Date | 12/06/2011
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Provider Practice Location Address
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Address Line | 1200 S FEDERAL HWY
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-7037
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Country | US
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Telephone | 954-429-9013
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Fax | 954-429-9013
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Provider Business Mailing Address
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Address Line | 5851 HOLMBERG RD APT 1715
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City | PARKLAND
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State | FL
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Zip | 33067-4524
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Country | US
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Telephone | 954-645-0756
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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 | PS30707
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License Number State | FL
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