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General NPI Number Information
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NPI Number | 1881493591
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Entity Type | Individual
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Provider Name | NIKKI PREM DUGGAL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1120 BICHARA BLVD
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City | LADY LAKE
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State | FL
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Zip | 32159-7716
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Country | US
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Telephone | 352-750-2424
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Fax |
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Provider Business Mailing Address
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Address Line | 11157 BRIDGE HOUSE RD
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City | WINDERMERE
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State | FL
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Zip | 34786-5403
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Country | US
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Telephone | 321-947-7319
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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 | PS67949
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License Number State | FL
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