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General NPI Number Information
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NPI Number | 1881773521
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Entity Type | Individual
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Provider Name | ESTELA PINNAVARIA RPH
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Gender | Female
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 15173 NE 21 AVE
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33154
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Country | US
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Telephone | 305-354-4664
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Fax | 305-354-4669
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Provider Business Mailing Address
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Address Line | 9250 W BAY HARBOR DR # 7B
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City | BAY HARBOR ISL
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State | FL
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Zip | 33154
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Country | US
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Telephone | 305-354-4664
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Fax | 305-354-4669
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PH17703
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License Number State | FL
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