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General NPI Number Information
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NPI Number | 1386020584
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Entity Type | Individual
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Provider Name | MAGDALINE VICTORIN PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 08/11/2015
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Last Update Date | 08/11/2015
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Provider Practice Location Address
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Address Line | 6319 WATERFORD HILLS DR APT 1312
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City | CHARLOTTE
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State | NC
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Zip | 28269-3139
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Country | US
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Telephone | 980-320-0517
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Fax |
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Provider Business Mailing Address
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Address Line | 3515 DAVID COX RD UNIT 480902
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City | CHARLOTTE
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State | NC
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Zip | 28269-2571
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Country | US
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Telephone |
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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 | 50549
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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 | 24975
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 7580
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License Number State | FL
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