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General NPI Number Information
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NPI Number | 1720183791
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Entity Type | Individual
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Provider Name | MITCHELL NAZARIO PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7305 N MILITARY TRL
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City | RIVIERA BEACH
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State | FL
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Zip | 33410-7417
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Country | US
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Telephone | 561-422-8262
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Fax | 561-422-8288
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Provider Business Mailing Address
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Address Line | 2297 RIDGEWOOD CIR
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-6157
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Country | US
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Telephone | 561-422-8262
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Fax | 561-422-8288
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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 | 3575
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License Number State | PR
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