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General NPI Number Information
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NPI Number | 1275843773
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Entity Type | Individual
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Provider Name | HERMAN LYNELL HOWARD R.PH.
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Gender | Male
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Dates
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Enumeration Date | 10/18/2010
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Last Update Date | 10/18/2010
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Provider Practice Location Address
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Address Line | 823 NW 119TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33168-2336
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Country | US
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Telephone | 305-685-8808
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Fax | 305-685-8797
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Provider Business Mailing Address
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Address Line | 1800 JACKSON STREET #403
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City | HOLLYWOOD
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State | FL
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Zip | 33020-5170
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Country | US
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Telephone | 305-685-8808
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Fax | 305-685-8797
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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 | PS20965
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License Number State | FL
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