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General NPI Number Information
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NPI Number | 1295720381
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Entity Type | Individual
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Provider Name | CONSTANTINE PETROPOULOS PHARM D, MHSA
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Gender | Male
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1201 NW 16TH ST
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City | MIAMI
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State | FL
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Zip | 33125-1624
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Country | US
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Telephone | 954-927-4280
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Fax |
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Provider Business Mailing Address
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Address Line | 200 SE 5TH AVE UNIT 508
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City | DANIA BEACH
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State | FL
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Zip | 33004-4073
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Country | US
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Telephone | 954-927-4280
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Fax | 305-575-3394
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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 | PS34015
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1835N1003X
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Taxonomy Name | Nutrition Support Pharmacist
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License Number | PS34015
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PS34015
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License Number State | FL
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