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General NPI Number Information
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NPI Number | 1417238254
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Entity Type | Individual
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Provider Name | RALPH ABI-NADER
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Gender | Male
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Dates
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Enumeration Date | 09/07/2011
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Last Update Date | 12/04/2020
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Provider Practice Location Address
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Address Line | 89 MIDWAY RD
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City | OCALA
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State | FL
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Zip | 34472-4351
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Country | US
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Telephone | 352-261-1273
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Fax | 352-261-1589
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Provider Business Mailing Address
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Address Line | 16004 STAGS LEAP DR
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City | LUTZ
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State | FL
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Zip | 33559-2002
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Country | US
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Telephone | 352-261-1273
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Fax | 352-261-1589
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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 | PS42238
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License Number State | FL
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