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General NPI Number Information
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NPI Number | 1467632117
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Entity Type | Individual
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Provider Name | CESAR DOEL ACEVEDO PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/10/2007
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Last Update Date | 11/10/2007
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Provider Practice Location Address
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Address Line | 2001 KINGSLEY AVE
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City | ORANGE PARK
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State | FL
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Zip | 32073-5148
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Country | US
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Telephone | 904-276-8511
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Fax |
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Provider Business Mailing Address
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Address Line | 2363 GOLFVIEW DR
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City | ORANGE PARK
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State | FL
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Zip | 32003-3382
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Country | US
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Telephone | 904-278-1069
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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 | PS35811
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 4734
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License Number State | PR
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