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General NPI Number Information
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NPI Number | 1922812841
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Entity Type | Individual
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Provider Name | ALECIA MUWONGE PHARMD, AAHIVP
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Gender | Female
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 5647 HOLLYWOOD BLVD
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6325
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Country | US
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Telephone | 954-276-1616
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Fax |
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Provider Business Mailing Address
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Address Line | 2987 ST JOHN DR
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City | HOLLYWOOD
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State | FL
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Zip | 33024-8571
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Country | US
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Telephone | 347-822-1164
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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 | PS66805
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License Number State | FL
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