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General NPI Number Information
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NPI Number | 1891410106
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Entity Type | Individual
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Provider Name | YASMIN MALKI PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/10/2022
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 2513 US HIGHWAY 19
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City | HOLIDAY
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State | FL
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Zip | 34691-3847
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Country | US
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Telephone | 727-937-5193
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Fax |
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Provider Business Mailing Address
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Address Line | 5667 WELLINGTON CT
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City | PALM HARBOR
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State | FL
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Zip | 34685-1177
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Country | US
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Telephone | 727-482-7267
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PS62439
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License Number State | FL
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