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General NPI Number Information
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NPI Number | 1235732157
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Entity Type | Individual
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Provider Name | ELISA PISANI PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/21/2020
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Last Update Date | 11/21/2020
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Provider Practice Location Address
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Address Line | 7850 131ST ST
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City | SEMINOLE
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State | FL
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Zip | 33776-3518
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Country | US
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Telephone | 727-398-4489
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Fax |
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Provider Business Mailing Address
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Address Line | 2625 9TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33713-6802
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Country | US
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Telephone | 607-743-5057
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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 | PS54790
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License Number State | FL
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