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General NPI Number Information
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NPI Number | 1700695038
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Entity Type | Individual
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Provider Name | VERA BULAKHOVA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 12235 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-4119
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Country | US
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Telephone | 954-265-4325
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Fax |
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Provider Business Mailing Address
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Address Line | 2094 LINDEN BLVD
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City | BROOKLYN
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State | NY
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Zip | 11207-7412
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Country | US
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Telephone | 212-969-8372
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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 | 072288
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | PS69623
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License Number State | FL
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