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General NPI Number Information
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NPI Number | 1649532631
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Entity Type | Individual
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Provider Name | MELANIE BROOKE CRASS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/14/2012
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 3030 1ST AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33713-8607
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Country | US
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Telephone | 727-322-5200
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Fax | 727-322-5288
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Provider Business Mailing Address
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Address Line | 3030 1ST AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33713-8607
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Country | US
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Telephone | 727-322-5200
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Fax | 727-322-5288
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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 | 36653
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License Number State | TN
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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 | PS51450
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License Number State | FL
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