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General NPI Number Information
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NPI Number | 1417073230
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Entity Type | Individual
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Provider Name | HELEN LORRAINE SARTIN CPHT
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/12/2013
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Provider Practice Location Address
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Address Line | 7305 BROAD ST WAL-MART
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City | BROOKSVILLE
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State | FL
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Zip | 34602-7548
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Country | US
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Telephone | 352-796-6221
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Fax |
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Provider Business Mailing Address
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Address Line | 4937 OAKFIELD CIR
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City | DADE CITY
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State | FL
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Zip | 33523-9135
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Country | US
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Telephone | 352-583-9420
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 183700000X
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License Number State | FL
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