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General NPI Number Information
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NPI Number | 1134723281
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Entity Type | Individual
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Provider Name | ROSSANA MARITZA LAGUNA-MIRANDA
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Gender | Female
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Dates
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Enumeration Date | 11/29/2020
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Last Update Date | 11/29/2020
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Provider Practice Location Address
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Address Line | 5585 GOLDEN GATE PKWY
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City | NAPLES
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State | FL
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Zip | 34116-7547
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Country | US
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Telephone | 239-353-8770
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Fax | 239-353-6735
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Provider Business Mailing Address
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Address Line | 5585 GOLDEN GATE PKWY
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City | NAPLES
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State | FL
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Zip | 34116-7547
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Country | US
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Telephone | 239-353-8770
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Fax | 238-353-6735
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | PS42128
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License Number State | FL
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