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General NPI Number Information
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NPI Number | 1942554894
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Entity Type | Individual
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Provider Name | LYNDIA CHARLES PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 06/25/2013
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Provider Practice Location Address
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Address Line | 17540 SW 93RD PL
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5782
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Country | US
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Telephone | 786-566-6670
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Fax |
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Provider Business Mailing Address
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Address Line | 17540 SW 93RD PL
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5782
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Country | US
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Telephone | 786-423-0888
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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 | PS32538
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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 | PS32538
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PS32538
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License Number State | FL
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