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General NPI Number Information
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NPI Number | 1922109487
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Entity Type | Individual
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Provider Name | NICOLE MARIE JULIANO CPHT
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3116 W COMMERCIAL BLVD
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City | FT LAUDERDALE
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State | FL
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Zip | 33309-3415
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Country | US
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Telephone | 954-739-2829
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Fax | 954-739-3680
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Provider Business Mailing Address
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Address Line | 14970 SW 20TH ST
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City | DAVIE
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State | FL
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Zip | 33326-2020
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Country | US
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Telephone | 954-683-4642
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number |
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License Number State |
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