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General NPI Number Information
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NPI Number | 1316036262
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Entity Type | Individual
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Provider Name | DAYNA P SHORT-GRAYBILL RPH
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 5739 EDGEWATER DR
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City | ORLANDO
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State | FL
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Zip | 32810-5258
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Country | US
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Telephone | 407-293-6600
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Fax | 407-293-0222
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Provider Business Mailing Address
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Address Line | 4435 HAZLETON
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City | ORLANDO
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State | FL
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Zip | 32818-8270
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Country | US
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Telephone | 407-295-8125
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS29647
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License Number State | FL
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