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General NPI Number Information
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NPI Number | 1508730698
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Entity Type | Individual
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Provider Name | CRUSITA S MITCHELL RPH
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Gender | Female
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 13813 EXOTICA LN
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City | WELLINGTON
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State | FL
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Zip | 33414-8134
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Country | US
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Telephone | 561-329-7673
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Fax | 561-329-7673
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Provider Business Mailing Address
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Address Line | 8337 SOUTHPARK CIR
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City | ORLANDO
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State | FL
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Zip | 32819-9049
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Country | US
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Telephone | 407-351-6151
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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 | PS32134
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License Number State | FL
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