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General NPI Number Information
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NPI Number | 1174126213
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Entity Type | Individual
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Provider Name | DR. STEPHANIE SKRABUT ROUSE
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Gender | Female
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Dates
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Enumeration Date | 11/20/2020
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 2575 98TH AVE ATTN: STEPHANIE ROUSE
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City | VERO BEACH
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State | FL
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Zip | 32966
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Country | US
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Telephone | 561-420-9838
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Fax | 401-652-0816
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Provider Business Mailing Address
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Address Line | 2575 98TH AVE
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City | VERO BEACH
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State | FL
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Zip | 32966-3044
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Country | US
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Telephone | 561-420-9838
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Fax | 401-652-0816
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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 | PS36907
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License Number State | FL
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