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General NPI Number Information
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NPI Number | 1831978931
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Entity Type | Individual
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Provider Name | TONY PEREZ PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/27/2023
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 5237 SUMMERLIN COMMONS BLVD
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City | FORT MYERS
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State | FL
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Zip | 33907-2158
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Country | US
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Telephone | 787-523-1212
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Fax |
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Provider Business Mailing Address
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Address Line | 3642 E BELL DR
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City | DAVIE
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State | FL
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Zip | 33328-2610
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Country | US
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Telephone | 305-331-4661
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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 | PS55353
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License Number State | FL
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