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General NPI Number Information
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NPI Number | 1235207150
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Entity Type | Individual
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Provider Name | VINCENT JOSEPH GAGLIO RPH
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Gender | Male
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 600 US HIGHWAY 27
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City | CLERMONT
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State | FL
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Zip | 34714-8908
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Country | US
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Telephone | 352-536-2730
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Fax |
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Provider Business Mailing Address
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Address Line | 1244 LEGENDARY BLVD
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City | CLERMONT
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State | FL
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Zip | 34711-5443
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Country | US
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Telephone | 352-227-4743
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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 | PS33780
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License Number State | FL
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