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General NPI Number Information
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NPI Number | 1376880369
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Entity Type | Individual
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Provider Name | ALEXIS MORALES PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 01/10/2013
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Last Update Date | 01/10/2013
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Provider Practice Location Address
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Address Line | 1910 LAKE WORTH RD
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City | LAKE WORTH
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State | FL
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Zip | 33461-4228
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Country | US
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Telephone | 561-533-6885
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Fax |
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Provider Business Mailing Address
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Address Line | 4720 PORTOFINO WAY APT 204
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-8182
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Country | US
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Telephone | 561-596-7305
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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 | PS48325
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License Number State | FL
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