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General NPI Number Information
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NPI Number | 1518236231
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Entity Type | Individual
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Provider Name | REYNA CHON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/27/2011
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Last Update Date | 12/27/2011
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Provider Practice Location Address
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Address Line | 11115 E MLK BLVD
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City | SEFFNER
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State | FL
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Zip | 33584-8378
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Country | US
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Telephone | 813-689-4049
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Fax |
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Provider Business Mailing Address
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Address Line | 8302 CANTERBURY LAKE BLVD
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City | TAMPA
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State | FL
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Zip | 33619-6666
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Country | US
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Telephone |
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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 | PS41860
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License Number State | FL
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