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General NPI Number Information
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NPI Number | 1790444966
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Entity Type | Individual
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Provider Name | FORIN HUANG PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 4730 S FLORIDA AVE
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City | LAKELAND
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State | FL
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Zip | 33813-2181
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Country | US
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Telephone | 863-646-5471
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Fax |
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Provider Business Mailing Address
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Address Line | 237 ST GEORGES CIR
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City | EAGLE LAKE
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State | FL
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Zip | 33839-5211
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Country | US
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Telephone | 863-670-6127
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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 | 63622
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License Number State | FL
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