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General NPI Number Information
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NPI Number | 1801353529
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Entity Type | Individual
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Provider Name | BLAIR CALVIN ANDREASSI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/28/2019
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 2600 VETERANS WAY
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32408-7186
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Country | US
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Telephone | 850-636-7114
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Fax |
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Provider Business Mailing Address
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Address Line | 409 MILL POINT LN
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-2575
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Country | US
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Telephone | 914-960-3199
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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 | PS64329
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License Number State | FL
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