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General NPI Number Information
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NPI Number | 1508348681
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Entity Type | Individual
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Provider Name | MICHELLE NOE-LANIKAI KELLINGER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/05/2018
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1587 N COURTENAY PKWY
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-4454
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Country | US
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Telephone | 321-459-1647
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Fax | 321-459-1201
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Provider Business Mailing Address
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Address Line | 8941 LAKE DR APT D205
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City | CAPE CANAVERAL
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State | FL
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Zip | 32920-4296
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Country | US
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Telephone | 321-459-1647
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Fax | 321-459-1201
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 7448295-1701
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License Number State | UT
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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 | PS68983
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License Number State | FL
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