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General NPI Number Information
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NPI Number | 1629347810
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Entity Type | Individual
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Provider Name | PATRICIA IOLA HARRIS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 15295 COLLIER BLVD
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City | NAPLES
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State | FL
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Zip | 34119-7715
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Country | US
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Telephone | 239-352-7354
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 MALIBU LAKE CIR APT 922
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City | NAPLES
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State | FL
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Zip | 34119-8796
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Country | US
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Telephone | 239-250-2143
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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 | 46777
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License Number State | FL
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