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General NPI Number Information
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NPI Number | 1275585721
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Entity Type | Individual
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Provider Name | LAQUINTA W HYPPOLITE
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 10/08/2014
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Provider Practice Location Address
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Address Line | 9021 TAFT ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-4676
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Country | US
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Telephone | 954-362-4738
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Fax | 954-362-4739
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Provider Business Mailing Address
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Address Line | 4305 SW 179TH WAY
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City | MIRAMAR
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State | FL
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Zip | 33029-6303
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Country | US
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Telephone | 954-812-3843
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Fax | 954-362-4739
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PS 35252
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License Number State | FL
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