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General NPI Number Information
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NPI Number | 1821134974
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Entity Type | Individual
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Provider Name | GRETEL TERESA MORERA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 975 W 49TH ST
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City | HIALEAH
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State | FL
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Zip | 33012-3412
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Country | US
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Telephone | 305-512-5433
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Fax | 305-826-3618
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Provider Business Mailing Address
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Address Line | 9820 NW 51ST LN
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City | DORAL
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State | FL
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Zip | 33178-1916
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Country | US
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Telephone | 305-477-0439
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Fax | 305-826-3618
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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 | PS37990
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License Number State | FL
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