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General NPI Number Information
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NPI Number | 1801439856
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Entity Type | Individual
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Provider Name | LEIDY GUADALUPE D'ELIA RPH
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Gender | Female
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Dates
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Enumeration Date | 10/22/2019
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Last Update Date | 10/22/2019
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Provider Practice Location Address
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Address Line | 6991 SW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33144-4743
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Country | US
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Telephone | 786-257-4095
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Fax | 786-257-4096
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Provider Business Mailing Address
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Address Line | 14954 SW 9TH WAY
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City | MIAMI
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State | FL
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Zip | 33194-2595
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Country | US
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Telephone | 786-541-7374
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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 | PS52429
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License Number State | FL
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