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General NPI Number Information
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NPI Number | 1639443732
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Entity Type | Individual
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Provider Name | ZAYDA C DEPAZ RPH
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Gender | Female
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Dates
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Enumeration Date | 03/07/2012
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 5321 W 20TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-2100
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Country | US
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Telephone | 305-364-9100
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Fax | 305-364-9363
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Provider Business Mailing Address
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Address Line | 8460 SW 80TH PL
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City | MIAMI
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State | FL
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Zip | 33143-7041
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Country | US
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Telephone | 305-281-4597
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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 | PS17916
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License Number State | FL
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