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General NPI Number Information
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NPI Number | 1700568102
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Entity Type | Individual
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Provider Name | KRYSTEN ELAINE FERRAINO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/04/2023
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 11650 W PALMETTO PARK RD
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City | BOCA RATON
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State | FL
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Zip | 33428-2501
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Country | US
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Telephone | 561-470-9376
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Fax |
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Provider Business Mailing Address
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Address Line | 22587 VISTAWOOD WAY
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City | BOCA RATON
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State | FL
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Zip | 33428-5564
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Country | US
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Telephone |
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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 | PS66017
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License Number State | FL
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