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General NPI Number Information
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NPI Number | 1942816830
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Entity Type | Individual
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Provider Name | ANTHONY FASHONA PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/16/2020
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 999 SEBASTIAN BLVD
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City | SEBASTIAN
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State | FL
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Zip | 32958-4861
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Country | US
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Telephone | 772-388-1096
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Fax | 772-589-4769
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Provider Business Mailing Address
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Address Line | 244 11TH SQ SW
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City | VERO BEACH
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State | FL
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Zip | 32962-3439
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Country | US
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Telephone | 772-559-8900
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PS53559
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS53559
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License Number State | FL
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