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General NPI Number Information
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NPI Number | 1134324734
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Entity Type | Individual
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Provider Name | ZOILA CONDE R.PH
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Gender | Female
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1700 W 68TH ST
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City | HIALEAH
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State | FL
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Zip | 33014-4437
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Country | US
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Telephone | 305-556-3008
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Fax |
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Provider Business Mailing Address
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Address Line | 16807 NW 83RD PL
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City | MIAMI LAKES
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State | FL
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Zip | 33016-3453
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Country | US
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Telephone | 305-827-2236
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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 | PS20925
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License Number State | FL
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