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General NPI Number Information
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NPI Number | 1265918510
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Entity Type | Individual
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Provider Name | NATASHA DEL ROSARIO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/18/2018
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Last Update Date | 09/15/2024
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Provider Practice Location Address
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Address Line | 4100 N WICKHAM RD STE 109
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City | MELBOURNE
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State | FL
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Zip | 32935-2487
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Country | US
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Telephone | 321-242-6166
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Fax |
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Provider Business Mailing Address
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Address Line | 240 LAGO CIR APT 102
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City | WEST MELBOURNE
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State | FL
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Zip | 32904-3382
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Country | US
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Telephone |
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PS57952
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License Number State | FL
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