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General NPI Number Information
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NPI Number | 1427837590
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Entity Type | Individual
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Provider Name | JOSHUA CRESPIN ABUT
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Gender | Male
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Dates
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Enumeration Date | 09/27/2023
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 151 SW 184TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-5465
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Country | US
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Telephone | 954-442-1359
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Fax |
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Provider Business Mailing Address
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Address Line | 19445 SW 14TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-6123
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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 | PS66366
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License Number State | FL
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