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General NPI Number Information
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NPI Number | 1902721608
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Entity Type | Individual
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Provider Name | LUZ M DIAZ PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 3341 EXECUTIVE WAY
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City | MIRAMAR
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State | FL
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Zip | 33025-3935
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Country | US
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Telephone | 954-417-6454
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Fax |
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Provider Business Mailing Address
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Address Line | 6264 SARATOGA CIR
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City | DAVIE
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State | FL
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Zip | 33331-2104
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Country | US
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Telephone | 954-812-8380
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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 | PS20936
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License Number State | FL
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