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General NPI Number Information
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NPI Number | 1205417631
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Entity Type | Individual
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Provider Name | SAMI ALAGIC PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2021
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Last Update Date | 04/17/2021
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Provider Practice Location Address
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Address Line | 8101 S JOHN YOUNG PKWY
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City | ORLANDO
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State | FL
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Zip | 32819-9021
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Country | US
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Telephone | 407-354-5474
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Fax | 407-354-5484
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Provider Business Mailing Address
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Address Line | 4578 TIGUA ISLAND CT
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City | WINTER PARK
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State | FL
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Zip | 32792-9300
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Country | US
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Telephone | 954-663-3199
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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 | PS49016
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License Number State | FL
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