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General NPI Number Information
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NPI Number | 1124337332
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Entity Type | Individual
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Provider Name | MS. VEDIA TENIS
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Gender | Female
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Dates
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Enumeration Date | 10/05/2010
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 7016 BERACASA WAY
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City | BOCA RATON
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State | FL
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Zip | 33433-3447
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Country | US
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Telephone | 561-391-8770
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Fax |
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Provider Business Mailing Address
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Address Line | 4433 CARAMBOLA CIR S
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City | COCONUT CREEK
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State | FL
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Zip | 33066-2552
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Country | US
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Telephone | 646-247-2096
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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 | 28RI3005300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS51739
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License Number State | FL
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