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General NPI Number Information
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NPI Number | 1477823516
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Entity Type | Individual
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Provider Name | GEORGE YAW PIASARE RPH
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Gender | Male
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 901 S 14TH ST
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City | LEESBURG
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State | FL
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Zip | 34748-6615
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Country | US
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Telephone | 352-787-3506
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Fax |
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Provider Business Mailing Address
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Address Line | 901 S 14TH ST
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City | LEESBURG
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State | FL
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Zip | 34748-6615
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Country | US
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Telephone | 352-787-3506
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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 | 5302037652
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License Number State | MI
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