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General NPI Number Information
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NPI Number | 1932699287
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Entity Type | Individual
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Provider Name | NISHANT TARUNKUMAR TALATI PHARM D
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Gender | Male
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Dates
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Enumeration Date | 05/12/2018
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Last Update Date | 12/15/2018
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Provider Practice Location Address
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Address Line | 290 CITRUS TOWER BLVD STE 106
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City | CLERMONT
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State | FL
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Zip | 34711-2783
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Country | US
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Telephone | 352-989-5890
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Fax |
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Provider Business Mailing Address
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Address Line | 12405 BEACONTREE WAY
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City | ORLANDO
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State | FL
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Zip | 32837-6582
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Country | US
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Telephone | 201-214-5084
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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 | PS54500
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License Number State | FL
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Taxonomy #2
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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 | 28RI03914000
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License Number State | NJ
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