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General NPI Number Information
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NPI Number | 1093099434
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Entity Type | Individual
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Provider Name | AMBER NICOLE WOJACK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/04/2011
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Last Update Date | 10/04/2011
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Provider Practice Location Address
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Address Line | 399 N CONGRESS AVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-3415
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Country | US
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Telephone | 561-736-3558
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Fax |
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Provider Business Mailing Address
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Address Line | 5265 CHELAN CV
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City | LAKE WORTH
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State | FL
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Zip | 33467-5514
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Country | US
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Telephone | 561-596-4504
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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 | PS46805
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License Number State | FL
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