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General NPI Number Information
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NPI Number | 1295010874
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Entity Type | Individual
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Provider Name | TERRENCE CAMERON MYERS JR. PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 18511 N US HIGHWAY 41
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City | LUTZ
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State | FL
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Zip | 33549-4456
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Country | US
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Telephone | 813-948-2742
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Fax | 813-948-0221
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Provider Business Mailing Address
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Address Line | 120 N FEDERAL HWY SUITE 302
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City | LAKE WORTH
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State | FL
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Zip | 33460-3403
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Country | US
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Telephone | 561-585-4677
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Fax | 800-325-2232
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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 | PS44237
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License Number State | FL
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