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General NPI Number Information
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NPI Number | 1275001190
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Entity Type | Individual
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Provider Name | ROSALBA DURAN-SHAPLLO
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Gender | Female
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Dates
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Enumeration Date | 11/08/2018
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Last Update Date | 11/08/2018
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Provider Practice Location Address
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Address Line | 8276 S JOG RD
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City | BOYNTON BEACH
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State | FL
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Zip | 33472-2938
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Country | US
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Telephone | 561-734-8010
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Fax |
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Provider Business Mailing Address
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Address Line | 10824 FILLMORE DR
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3958
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Country | US
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Telephone | 862-228-3309
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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 | PS58593
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License Number State | FL
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