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General NPI Number Information
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NPI Number | 1750950481
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Entity Type | Individual
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Provider Name | MICHAEL EVANS SHAHEEN PHARMD, R.PH.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2021
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Last Update Date | 06/17/2021
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Provider Practice Location Address
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Address Line | 1314 S BAY ST
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City | EUSTIS
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State | FL
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Zip | 32726-5551
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Country | US
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Telephone | 352-357-6699
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Fax | 352-357-2390
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Provider Business Mailing Address
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Address Line | 5334 CAMBERLEA AVE
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City | ZEPHYRHILLS
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State | FL
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Zip | 33541-2614
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Country | US
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Telephone | 813-477-7888
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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 | PS62060
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License Number State | FL
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