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General NPI Number Information
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NPI Number | 1720089154
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Entity Type | Individual
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Provider Name | ROBERT G OHLAU SR. B.S. PHARMACY
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Gender | Male
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1860 N LAWNWOOD CIR
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City | FORT PIERCE
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State | FL
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Zip | 34950-4828
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Country | US
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Telephone | 772-467-3578
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Fax |
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Provider Business Mailing Address
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Address Line | 1382 SW EAGLEGLEN PL
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City | STUART
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State | FL
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Zip | 34997-7165
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Country | US
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Telephone | 772-220-4371
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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 | PS23502
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License Number State | FL
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