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General NPI Number Information
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NPI Number | 1568185585
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Entity Type | Individual
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Provider Name | KEYLING LOPEZ PHARM D
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Gender | Female
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 9675 NW117 AVE
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City | MEDLEY
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State | FL
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Zip | 33178
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Country | US
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Telephone | 786-339-3501
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Fax |
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Provider Business Mailing Address
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Address Line | 2155 SW 97TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-8007
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Country | US
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Telephone | 786-339-3501
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PS64446
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License Number State | FL
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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 | PS46664
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License Number State | FL
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