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General NPI Number Information
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NPI Number | 1861159360
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Entity Type | Individual
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Provider Name | CARLY ROSE LINDSAY DUNCAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/19/2021
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 1611 NW 12TH AVE # B069
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City | MIAMI
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State | FL
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Zip | 33136-1096
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Country | US
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Telephone | 305-585-0353
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Fax |
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Provider Business Mailing Address
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Address Line | 22221 SW 87TH PL
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City | CUTLER BAY
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State | FL
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Zip | 33190-1208
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Country | US
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Telephone | 954-279-5048
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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 | 55104
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License Number State | FL
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