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General NPI Number Information
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NPI Number | 1649219205
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Entity Type | Individual
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Provider Name | MARC BETTS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1105 E KENNEDY BLVD
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City | TAMPA
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State | FL
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Zip | 33602-3511
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Country | US
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Telephone | 813-307-8072
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Fax |
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Provider Business Mailing Address
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Address Line | 13014 N DALE MABRY HWY SUITE 805
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City | TAMPA
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State | FL
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Zip | 33618-2808
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Country | US
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Telephone | 813-397-8972
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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 | PS3374
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License Number State | FL
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