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General NPI Number Information
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NPI Number | 1508148503
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Entity Type | Individual
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Provider Name | HEIDI FIORELLA HUYNH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/15/2011
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 100 TECHNOLOGY PARK STE 158
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City | LAKE MARY
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State | FL
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Zip | 32746-6205
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Country | US
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Telephone | 866-842-2147
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Fax |
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Provider Business Mailing Address
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Address Line | 569 COPPERDALE AVE
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City | WINTER GARDEN
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State | FL
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Zip | 34787-4500
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Country | US
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Telephone | 786-859-9350
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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 | PS42684
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License Number State | FL
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