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General NPI Number Information
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NPI Number | 1871107771
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Entity Type | Individual
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Provider Name | MONNETTE COPPOLA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/08/2020
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 2901 W SWANN AVE
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City | TAMPA
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State | FL
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Zip | 33609-4056
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Country | US
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Telephone | 813-512-4654
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Fax |
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Provider Business Mailing Address
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Address Line | 2907 W WINTHROP RD
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City | TAMPA
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State | FL
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Zip | 33611-4040
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Country | US
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Telephone | 504-491-3120
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | PS38804
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 17208
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PS38804
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PS38804
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 17208
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License Number State | LA
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Taxonomy #6
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 17208
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License Number State | LA
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