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General NPI Number Information
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NPI Number | 1881963833
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Entity Type | Individual
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Provider Name | ANGELA M CARNEGIE RPH
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Gender | Female
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Dates
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Enumeration Date | 12/20/2011
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Last Update Date | 12/20/2011
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Provider Practice Location Address
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Address Line | 680 E BURLEIGH BLVD
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City | TAVARES
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State | FL
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Zip | 32778-2208
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Country | US
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Telephone | 352-253-0289
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Fax |
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Provider Business Mailing Address
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Address Line | 11021 ORANGESHIRE CT
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City | OCOEE
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State | FL
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Zip | 34761-5615
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Country | US
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Telephone | 407-877-3090
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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 | PS29014
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License Number State | FL
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