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General NPI Number Information
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NPI Number | 1518403344
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Entity Type | Individual
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Provider Name | HEATHER BLU LAHSANGAH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/18/2017
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 10051 5TH ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-2289
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Country | US
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Telephone | 727-828-8924
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Fax | 727-568-6016
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Provider Business Mailing Address
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Address Line | 10051 5TH STREET NORTH
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713
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Country | US
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Telephone | 727-828-8924
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Fax | 727-568-6016
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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 | PS40257
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License Number State | FL
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