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General NPI Number Information
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NPI Number | 1881914489
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Entity Type | Individual
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Provider Name | CLAUDETTE MARCANO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/04/2010
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 6210 LAKELAND HIGHLANDS RD
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City | LAKELAND
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State | FL
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Zip | 33813-3844
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Country | US
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Telephone | 863-647-3551
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Fax |
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Provider Business Mailing Address
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Address Line | 6720 S. FLORIDA AVE. APT. 6305
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City | LAKELAND
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State | FL
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Zip | 33813
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Country | US
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Telephone | 412-841-7158
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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 | RP440685
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 050988
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03043700
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS58830
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License Number State | FL
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