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General NPI Number Information
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NPI Number | 1225630585
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Entity Type | Individual
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Provider Name | ALEXANDRA COLORATO
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Gender | Female
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 505 SW PINE ISLAND RD
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City | CAPE CORAL
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State | FL
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Zip | 33991-1962
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Country | US
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Telephone | 239-458-7530
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Fax |
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Provider Business Mailing Address
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Address Line | 604 SE 29TH TER
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City | CAPE CORAL
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State | FL
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Zip | 33904-3527
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Country | US
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Telephone | 630-808-1049
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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 | PS57623
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License Number State | FL
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