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General NPI Number Information
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NPI Number | 1790091460
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Entity Type | Individual
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Provider Name | NADEJE JANE AURUBIN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/19/2010
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Last Update Date | 08/19/2010
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Provider Practice Location Address
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Address Line | 1201 NW 16TH ST
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City | MIAMI
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State | FL
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Zip | 33125-1624
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Country | US
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Telephone | 305-575-3102
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 NE 135TH ST APT 110
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City | NORTH MIAMI
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State | FL
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Zip | 33181-3591
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Country | US
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Telephone | 305-505-3556
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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 | PS45304
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License Number State | FL
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