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General NPI Number Information
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NPI Number | 1295109320
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Entity Type | Individual
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Provider Name | EDDY AOUN
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Gender | Male
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 04/29/2021
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Provider Practice Location Address
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Address Line | 2415 TARPON BAY BLVD
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City | NAPLES
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State | FL
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Zip | 34119-8764
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Country | US
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Telephone | 239-552-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 9170 DANIELS PKWY
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City | FORT MYERS
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State | FL
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Zip | 33912-1815
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Country | US
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Telephone | 305-213-4581
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Fax | 888-422-6108
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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 | PS53508
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License Number State | FL
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