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General NPI Number Information
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NPI Number | 1457521221
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Entity Type | Individual
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Provider Name | AMALIA LETICIA BRETON PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 03/07/2008
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Provider Practice Location Address
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Address Line | 1601 SW ARCHER RD 00-P
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City | GAINESVILLE
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State | FL
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Zip | 32608-1135
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Country | US
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Telephone | 352-474-6101
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Fax |
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Provider Business Mailing Address
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Address Line | 16708 NW 32ND AVE
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City | NEWBERRY
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State | FL
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Zip | 32669-2876
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Country | US
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Telephone | 352-474-6101
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Fax | 352-474-6091
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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 | 23026
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License Number State | FL
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