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General NPI Number Information
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NPI Number | 1407649668
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Entity Type | Individual
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Provider Name | CATHERINE GREEN PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 7405 STARKEY RD
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City | SEMINOLE
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State | FL
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Zip | 33777-4344
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Country | US
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Telephone | 727-391-9728
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Fax |
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Provider Business Mailing Address
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Address Line | 5804 LA PUERTA DEL SOL BLVD S APT 157
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City | SAINT PETERSBURG
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State | FL
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Zip | 33715-1421
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Country | US
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Telephone | 585-545-9005
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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 | PS68565
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License Number State | FL
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