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General NPI Number Information
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NPI Number | 1467676502
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Entity Type | Individual
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Provider Name | MARK VINCENT FILOSI RPH
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Gender | Male
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1505 W REYNOLDS ST
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City | PLANT CITY
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State | FL
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Zip | 33563-4733
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Country | US
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Telephone | 813-659-9777
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Fax | 813-659-1485
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Provider Business Mailing Address
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Address Line | 5732 EAGLEMOUNT CIR
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City | LITHIA
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State | FL
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Zip | 33547-3840
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Country | US
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Telephone | 813-685-2031
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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 | 28880
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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 | 21652
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License Number State | MA
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