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General NPI Number Information
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NPI Number | 1154183275
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Entity Type | Individual
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Provider Name | ALEXA NICOLE MUSNGI BANAAG PHARMD, CPH
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Gender | Female
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Dates
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Enumeration Date | 01/24/2024
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 13800 66TH ST
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City | LARGO
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State | FL
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Zip | 33771-4909
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Country | US
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Telephone | 727-499-7228
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Fax | 727-507-4202
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Provider Business Mailing Address
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Address Line | 6150 150TH AVE N STE MAPS
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City | CLEARWATER
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State | FL
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Zip | 33760-2138
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Country | US
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Telephone | 727-507-4673
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Fax | 727-507-4674
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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 | PU9731
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License Number State | FL
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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 | PS64572
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License Number State | FL
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