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General NPI Number Information
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NPI Number | 1174175681
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Entity Type | Individual
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Provider Name | AVA R BRILL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/15/2019
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Last Update Date | 07/15/2019
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Provider Practice Location Address
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Address Line | 6901 OKEECHOBEE BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-2511
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Country | US
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Telephone | 561-683-6966
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Fax | 561-683-6966
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Provider Business Mailing Address
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Address Line | 1888 NW 97TH TER
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-5951
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Country | US
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Telephone | 954-675-2515
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Fax | 561-683-6872
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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 | PS55468
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License Number State | FL
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