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General NPI Number Information
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NPI Number | 1326207432
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Entity Type | Individual
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Provider Name | JELLINO MCSWEEN PHARM D
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Gender | Male
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Dates
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Enumeration Date | 06/04/2008
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 4950 SW 151ST TER
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City | MIRAMAR
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State | FL
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Zip | 33027-3620
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Country | US
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Telephone | 954-350-0880
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Fax |
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Provider Business Mailing Address
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Address Line | 4950 SW 151ST TER
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City | MIRAMAR
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State | FL
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Zip | 33027-3620
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Country | US
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Telephone | 954-562-7849
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Fax | 954-392-5022
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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 | PS 34909
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202217069
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 019828
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 62247
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD14374
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License Number State | AR
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Taxonomy #6
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 27644
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License Number State | NC
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