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General NPI Number Information
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NPI Number | 1841883626
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Entity Type | Individual
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Provider Name | PATRICIA ANN BALES RPH
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Gender | Female
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Dates
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Enumeration Date | 02/12/2021
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Last Update Date | 02/12/2021
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Provider Practice Location Address
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Address Line | 5886 CONROY RD
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City | ORLANDO
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State | FL
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Zip | 32835-3528
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Country | US
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Telephone | 407-299-8020
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Fax | 407-294-2914
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Provider Business Mailing Address
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Address Line | 410 DUNOON ST
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City | OCOEE
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State | FL
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Zip | 34761-5654
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Country | US
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Telephone | 407-489-1770
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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