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General NPI Number Information
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NPI Number | 1255325544
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Entity Type | Individual
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Provider Name | WILMER TIRADO PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/01/2005
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 9374 SW 173RD TER
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5724
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Country | US
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Telephone | 305-213-9241
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Fax |
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Provider Business Mailing Address
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Address Line | 9374 SW 173RD TER
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5724
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Country | US
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Telephone | 305-213-9241
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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 | 051844
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License Number State | NY
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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 | 4921
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License Number State | PR
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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 | RP0008073
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP450079
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH235789
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License Number State | MA
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Taxonomy #6
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Taxonomy Code | 1835N0905X
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Taxonomy Name | Nuclear Pharmacist
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License Number | NP305
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 1835N0905X
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Taxonomy Name | Nuclear Pharmacist
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License Number | 006
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License Number State | PR
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Taxonomy #8
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS35519
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License Number State | FL
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