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General NPI Number Information
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NPI Number | 1669407938
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Entity Type | Individual
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Provider Name | AMANDA MARIE MEDLAND PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 5201 RAYMOND ST
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City | ORLANDO
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State | FL
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Zip | 32803-8208
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Country | US
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Telephone | 407-629-1599
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Fax | 321-397-6716
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Provider Business Mailing Address
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Address Line | 9409 CANNON DR
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City | ORLANDO
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State | FL
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Zip | 32817-3147
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Country | US
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Telephone | 407-678-1413
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PS39041
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License Number State | FL
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