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General NPI Number Information
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NPI Number | 1740759158
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Entity Type | Individual
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Provider Name | MADISLEIDYS CARRERA RPH
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Gender | Female
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Dates
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Enumeration Date | 11/14/2018
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 9050 BISCAYNE BLVD
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City | MIAMI SHORES
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State | FL
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Zip | 33138-3222
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Country | US
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Telephone | 305-751-4075
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Fax |
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Provider Business Mailing Address
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Address Line | 17900 N BAY RD APT 507
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-2734
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Country | US
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Telephone | 786-371-8514
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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 | PS58729
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License Number State | FL
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