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General NPI Number Information
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NPI Number | 1104102714
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Entity Type | Individual
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Provider Name | SHELLY H GELINAS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2011
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 15940 ORANGE BLVD
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-3442
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Country | US
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Telephone | 561-899-1379
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Fax |
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Provider Business Mailing Address
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Address Line | 9833 BAYWINDS DR APT 7203
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-1854
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Country | US
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Telephone | 561-254-6365
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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 | PS42563
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License Number State | FL
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