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General NPI Number Information
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NPI Number | 1265557698
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Entity Type | Individual
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Provider Name | DOODNAUTH PERSAUD RPH.
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Gender | Male
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1401 S HIAWASSEE RD
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City | ORLANDO
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State | FL
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Zip | 32835-5715
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Country | US
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Telephone | 407-295-2333
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Fax | 407-578-7100
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Provider Business Mailing Address
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Address Line | 240 LAKE DARBY PL
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City | GOTHA
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State | FL
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Zip | 34734-5209
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Country | US
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Telephone | 407-292-2919
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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 | PS28997
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License Number State | FL
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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 | 042314-1
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License Number State | NY
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