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General NPI Number Information
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NPI Number | 1528341625
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Entity Type | Individual
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Provider Name | ROBERT D ELLIOTT R.PH.
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Gender | Male
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Dates
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Enumeration Date | 09/25/2011
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Last Update Date | 09/25/2011
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Provider Practice Location Address
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Address Line | 5 PATRICIA AVE
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City | DUNEDIN
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State | FL
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Zip | 34698-8102
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Country | US
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Telephone | 727-734-5354
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Fax | 727-736-3420
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Provider Business Mailing Address
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Address Line | 3788 LAKE SAINT GEORGE DR
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City | PALM HARBOR
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State | FL
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Zip | 34684-4214
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Country | US
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Telephone | 727-421-6909
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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 | PS13475
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License Number State | FL
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