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General NPI Number Information
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NPI Number | 1346393048
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Entity Type | Individual
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Provider Name | VICKI MCCONNELL PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 277 DOUGLAS AVE SUITE 1010
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-3300
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Country | US
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Telephone | 407-865-5489
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Fax | 407-670-0430
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Provider Business Mailing Address
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Address Line | 2411 CANTERCLUB TRAIL
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City | APOPKA
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State | FL
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Zip | 32712
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Country | US
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Telephone | 407-880-5959
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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 | PS30926
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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 | RPH014796
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License Number State | GA
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