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General NPI Number Information
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NPI Number | 1124882402
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Entity Type | Individual
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Provider Name | AMANDA ROSE KHATER PHARM D, RPH
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Gender | Female
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 6800 COLLIER BLVD
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City | NAPLES
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State | FL
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Zip | 34114-3588
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Country | US
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Telephone | 239-417-6647
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Fax | 239-417-6653
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Provider Business Mailing Address
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Address Line | 8056 DANCING WIND LN APT 1605
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City | NAPLES
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State | FL
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Zip | 34119-3613
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Country | US
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Telephone | 713-427-2547
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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 | PS66775
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License Number State | FL
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