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General NPI Number Information
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NPI Number | 1487164117
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Entity Type | Individual
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Provider Name | DANIEL RICHTER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/09/2017
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Last Update Date | 10/09/2017
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Provider Practice Location Address
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Address Line | 4770 N CONGRESS AVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-7952
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Country | US
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Telephone | 561-868-5530
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Fax |
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Provider Business Mailing Address
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Address Line | 5974 LAS COLINAS CIR
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City | LAKE WORTH
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State | FL
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Zip | 33463-6559
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Country | US
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Telephone | 561-512-7781
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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 | 56779
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License Number State | FL
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