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General NPI Number Information
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NPI Number | 1194052712
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Entity Type | Individual
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Provider Name | GARY STEPHEN DRABCZUK PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 11/04/2009
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Last Update Date | 12/31/2020
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Provider Practice Location Address
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Address Line | 8001 9TH ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-4109
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Country | US
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Telephone | 727-577-6888
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Fax |
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Provider Business Mailing Address
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Address Line | 14820 RUE DE BAYONNE APT 408
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City | CLEARWATER
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State | FL
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Zip | 33762-3030
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Country | US
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Telephone | 214-405-7114
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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 | PS44473
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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 | 1067119
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 40670
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License Number State | TX
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