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General NPI Number Information
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NPI Number | 1528425220
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Entity Type | Individual
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Provider Name | VIRGINIA DENISE CLEAVER PHARMD, RPH, CPH
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Gender | Female
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Dates
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Enumeration Date | 01/26/2016
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 6709 RIDGE RD STE 306
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City | PORT RICHEY
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State | FL
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Zip | 34668-6867
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Country | US
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Telephone | 727-203-3202
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Fax | 855-898-8002
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Provider Business Mailing Address
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Address Line | 6709 RIDGE RD STE 306
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City | PORT RICHEY
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State | FL
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Zip | 34668-6867
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Country | US
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Telephone | 727-203-3202
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Fax | 855-898-8002
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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 | 5302033259
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License Number State | MI
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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 | PS33402
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PU7750
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | PU7750
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PS33402
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License Number State | FL
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