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General NPI Number Information
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NPI Number | 1467520247
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Entity Type | Organization
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Legal Business Name | CONSULTING PHARMACISTS INC.
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 11/03/2011
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Provider Practice Location Address
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Address Line | 28 SUNSET DR
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City | SEBASTIAN
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State | FL
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Zip | 32958-3517
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Country | US
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Telephone | 772-581-5355
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Fax | 772-581-5893
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Provider Business Mailing Address
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Address Line | 28 SUNSET DR
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City | SEBASTIAN
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State | FL
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Zip | 32958-3517
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Country | US
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Telephone | 772-581-5355
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Fax | 772-594-7717
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANTHONY JOHN CICCONE
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Credential | CPH, RPH, FASCP
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Telephone | 772-581-5355
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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 | PS17894
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | PS17894
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License Number State | FL
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