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NPI 1285244772

NPI 1285244772 : FRANCO A DICKSON PHARMD : HOLLYWOOD, FL

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General NPI Number Information
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    NPI Number           |    1285244772
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    Entity Type          |    Individual 
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    Provider Name        |    FRANCO A DICKSON PHARMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/09/2020
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    Last Update Date     |    08/09/2020
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Provider Practice Location Address
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    Address Line         |    3600 WASHINGTON ST 
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    City                 |    HOLLYWOOD
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    State                |    FL
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    Zip                  |    33021-8216
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    Country              |    US
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    Telephone            |    954-518-6570
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1028 S 62ND AVE 
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    City                 |    HOLLYWOOD
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    State                |    FL
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    Zip                  |    33023-1851
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    Country              |    US
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    Telephone            |    917-605-7878
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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        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    61215
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    License Number State |    FL
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