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General NPI Number Information
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NPI Number | 1275804817
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Entity Type | Individual
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Provider Name | DR. DONNA SMOLKO O'NEAL
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Gender | Female
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 13705 78TH AVE N
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City | SEMINOLE
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State | FL
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Zip | 33776-1702
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Country | US
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Telephone | 727-319-2757
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Fax | 727-391-0722
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Provider Business Mailing Address
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Address Line | 326 176TH AVENUE CIR
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City | REDINGTON SHORES
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State | FL
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Zip | 33708-1225
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Country | US
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Telephone | 727-947-2647
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Fax | 727-391-0722
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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 | PS23319
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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 | P6243
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License Number State | ID
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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 | 015630
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License Number State | GA
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