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General NPI Number Information
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NPI Number | 1881987709
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Entity Type | Individual
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Provider Name | LISA A ADAMICH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/25/2011
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Last Update Date | 05/25/2011
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Provider Practice Location Address
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Address Line | 4035 TAMPA RD SUITE 6500
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City | OLDSMAR
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State | FL
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Zip | 34677-3227
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Country | US
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Telephone | 813-854-1448
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Fax |
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Provider Business Mailing Address
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Address Line | 3089 EAGLES LANDING CIR W
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City | CLEARWATER
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State | FL
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Zip | 33761-2818
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Country | US
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Telephone | 727-639-5583
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PS-22330
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License Number State | FL
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