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General NPI Number Information
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NPI Number | 1346837028
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Entity Type | Individual
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Provider Name | CRISTINA MARIA LUCES PHARM D
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Gender | Female
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Dates
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Enumeration Date | 12/29/2020
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 855 E 8TH AVE
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City | HIALEAH
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State | FL
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Zip | 33010-4615
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Country | US
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Telephone | 305-888-5598
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Fax | 305-888-5036
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Provider Business Mailing Address
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Address Line | 15824 NW 83RD AVE
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City | MIAMI LAKES
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State | FL
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Zip | 33016-6607
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Country | US
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Telephone | 305-332-0786
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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 | PS50796
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License Number State | FL
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