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General NPI Number Information
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NPI Number | 1841076775
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Entity Type | Individual
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Provider Name | JAMES ANDREW DAPELLO
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Gender | Male
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Dates
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Enumeration Date | 09/06/2023
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 30841 MIRADA BLVD
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City | SAN ANTONIO
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State | FL
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Zip | 33576-7305
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Country | US
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Telephone | 352-588-1199
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Fax |
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Provider Business Mailing Address
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Address Line | 1595 LUDINGTON AVE
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-7612
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Country | US
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Telephone | 941-524-2421
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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 | PS66275
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License Number State | FL
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