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General NPI Number Information
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NPI Number | 1912675356
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Entity Type | Individual
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Provider Name | SHENEKA LATONYA EXUMA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 14501 MIRAMAR PKWY
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City | MIRAMAR
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State | FL
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Zip | 33027-4157
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Country | US
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Telephone | 954-885-1861
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Fax |
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Provider Business Mailing Address
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Address Line | 16339 SW 26TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-4410
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Country | US
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Telephone | 954-348-3435
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PS63101
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License Number State | FL
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