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General NPI Number Information
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NPI Number | 1639283856
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Entity Type | Individual
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Provider Name | EDUARDO BEGUIRISTAIN R.PH.
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Gender | Male
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 02/18/2021
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Provider Practice Location Address
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Address Line | 1104 W 29TH ST
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City | HIALEAH
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State | FL
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Zip | 33012-5023
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Country | US
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Telephone | 305-887-0284
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Fax | 305-887-0230
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Provider Business Mailing Address
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Address Line | 1104 W 29TH ST
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City | HIALEAH
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State | FL
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Zip | 33012-5023
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Country | US
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Telephone | 305-887-0284
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Fax | 305-887-0230
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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 | PH8741
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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 | PS28459
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License Number State | FL
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