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General NPI Number Information
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NPI Number | 1417550930
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Entity Type | Individual
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Provider Name | MICHAEL CIARAVINO PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 7400 49TH ST N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-3434
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Country | US
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Telephone | 727-544-1491
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Fax |
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Provider Business Mailing Address
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Address Line | 483 43RD AVE NE
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City | SAINT PETERSBURG
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State | FL
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Zip | 33703-5015
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Country | US
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Telephone | 941-538-8552
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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 | PS56009
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License Number State | FL
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