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General NPI Number Information
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NPI Number | 1326826595
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Entity Type | Individual
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Provider Name | ALEXANDRA ROSE ROLA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 09/19/2023
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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 | 305-575-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 NW NORTH RIVER DR APT 901
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City | MIAMI
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State | FL
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Zip | 33125-2352
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Country | US
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Telephone | 989-370-5875
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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 | 5302414460
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License Number State | MI
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