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NPI 1740988963

NPI 1740988963 : EMMA REHBERG PHARMD : SARASOTA, FL

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General NPI Number Information
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    NPI Number           |    1740988963
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    Entity Type          |    Individual 
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    Provider Name        |    EMMA REHBERG PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/16/2023
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    Last Update Date     |    04/11/2023
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Provider Practice Location Address
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    Address Line         |    4301 BEE RIDGE RD 
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    City                 |    SARASOTA
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    State                |    FL
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    Zip                  |    34233-2566
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    Country              |    US
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    Telephone            |    941-371-6328
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2517 CATTLEMEN RD UNIT 6316 
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    City                 |    SARASOTA
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    State                |    FL
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    Zip                  |    34232-6338
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    Country              |    US
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    Telephone            |    860-575-8634
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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       |    PS63943
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    License Number State |    FL
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