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General NPI Number Information
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NPI Number | 1740044825
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Entity Type | Individual
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Provider Name | DEREK WHITECOTTON PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/09/2024
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 8330 LAKEWOOD RANCH BLVD
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5174
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Country | US
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Telephone | 941-782-2330
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Fax |
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Provider Business Mailing Address
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Address Line | 3296 LALANI BLVD
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City | SARASOTA
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State | FL
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Zip | 34232-5635
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Country | US
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Telephone | 618-694-5019
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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 | 1835E0208X
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Taxonomy Name | Emergency Medicine Pharmacist
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License Number | PS59526
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License Number State | FL
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