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General NPI Number Information
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NPI Number | 1740568542
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Entity Type | Individual
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Provider Name | MARITZA E PEREZ R.PH
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Gender | Female
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Dates
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Enumeration Date | 07/27/2011
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 705 INGRAHAM AVE
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City | HAINES CITY
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State | FL
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Zip | 33844-4327
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Country | US
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Telephone | 863-291-3314
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Fax | 863-659-4419
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Provider Business Mailing Address
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Address Line | 705 INGRAHAM AVE
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City | HAINES CITY
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State | FL
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Zip | 33844-4327
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Country | US
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Telephone | 863-291-3314
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Fax | 863-659-4419
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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 | 28RI02649800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS63111
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License Number State | FL
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