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General NPI Number Information
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NPI Number | 1215048616
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Entity Type | Individual
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Provider Name | MARIA MICHELLE PFEIFFER PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1640 US HIGHWAY 19
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City | HOLIDAY
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State | FL
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Zip | 34691-5605
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Country | US
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Telephone | 727-938-3731
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Fax |
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Provider Business Mailing Address
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Address Line | 8442 ASHFORD PL
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City | TRINITY
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State | FL
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Zip | 34655-4561
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Country | US
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Telephone | 816-914-4048
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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 | PS39806
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License Number State | FL
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