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General NPI Number Information
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NPI Number | 1215220959
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Entity Type | Individual
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Provider Name | MATTHEW FRANZ LANGKAMER BSPHARM
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Gender | Male
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 03/03/2016
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Provider Practice Location Address
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Address Line | 3300 PUBLIX CORPORATE PKWY
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City | LAKELAND
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State | FL
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Zip | 33811-3311
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Country | US
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Telephone | 831-588-9201
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1104
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City | VALRICO
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State | FL
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Zip | 33595-1104
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Country | US
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Telephone | 831-588-9201
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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 | RPH49067
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License Number State | CA
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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 | PS 53989
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License Number State | FL
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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 | RP038578T
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License Number State | PA
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