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General NPI Number Information
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NPI Number | 1467859116
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Entity Type | Individual
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Provider Name | JENNIFER MARIE BAHNMILLER PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 11/24/2014
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Last Update Date | 11/24/2014
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Provider Practice Location Address
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Address Line | 10250 CURRY FORD RD
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City | ORLANDO
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State | FL
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Zip | 32825-8735
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Country | US
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Telephone | 407-207-6107
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Fax |
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Provider Business Mailing Address
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Address Line | 10717 SUNRISE TERRACE DR
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City | ORLANDO
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State | FL
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Zip | 32825-8541
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Country | US
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Telephone | 407-615-0029
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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 | PS 52669
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License Number State | FL
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