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General NPI Number Information
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NPI Number | 1588217376
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Entity Type | Individual
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Provider Name | DAVID BOHUNICKY RPH
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Gender | Male
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Dates
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Enumeration Date | 07/20/2019
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Last Update Date | 07/20/2019
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Provider Practice Location Address
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Address Line | 5324 LITTLE RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655-1294
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Country | US
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Telephone | 727-375-5383
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Fax |
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Provider Business Mailing Address
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Address Line | 18311 HIGHWOODS PRESERVE PKWY UNIT 7212
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City | TAMPA
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State | FL
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Zip | 33647-1926
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Country | US
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Telephone | 607-279-6308
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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 | PS59363
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License Number State | FL
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