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General NPI Number Information
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NPI Number | 1558919696
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Entity Type | Individual
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Provider Name | ALIETHIA MCLEOD PHARM.D., RPH
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Gender | Female
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Dates
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Enumeration Date | 09/02/2019
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Last Update Date | 09/02/2019
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Provider Practice Location Address
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Address Line | 1201 S FEDERAL HWY
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2038
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Country | US
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Telephone | 954-523-1486
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Fax |
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Provider Business Mailing Address
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Address Line | 5530 NW 44TH ST APT 315C
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City | LAUDERHILL
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State | FL
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Zip | 33319-6167
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Country | US
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Telephone | 954-614-2210
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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 | PS59918
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License Number State | FL
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