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General NPI Number Information
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NPI Number | 1326284852
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Entity Type | Individual
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Provider Name | ANZEELA SCHENTRUP FRY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/06/2009
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 1601 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32608-1135
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Country | US
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Telephone | 352-273-6326
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Fax |
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Provider Business Mailing Address
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Address Line | 1688 NW 136TH BLVD
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City | NEWBERRY
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State | FL
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Zip | 32669-0506
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Country | US
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Telephone | 352-514-6556
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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 | PS38910
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PS38910
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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 | PS38910
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License Number State | FL
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