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General NPI Number Information
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NPI Number | 1093086290
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Entity Type | Individual
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Provider Name | MS. ALICE SAYAGO
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Gender | Female
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 01/19/2012
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Provider Practice Location Address
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Address Line | 160 NW 170TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169-5521
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Country | US
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Telephone | 305-654-5022
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Fax | 305-654-2280
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Provider Business Mailing Address
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Address Line | 7125 WOODMONT WAY
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City | TAMARAC
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State | FL
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Zip | 33321-2649
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Country | US
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Telephone | 954-290-3568
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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 | PS39390
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License Number State | FL
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