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General NPI Number Information
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NPI Number | 1740232651
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Entity Type | Individual
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Provider Name | LARRY WESTFALL RPH, PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 5300 S. ATLANTIC AVE. UNIT #20405
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32169
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Country | US
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Telephone | 610-518-7298
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Fax | 610-518-7297
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Provider Business Mailing Address
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Address Line | 5300 S. ATLANTIC AVE. UNIT #20405
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32169
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Country | US
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Telephone | 610-518-7298
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Fax | 610-518-7297
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RP439458
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License Number State | PA
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