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General NPI Number Information
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NPI Number | 1952666208
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Entity Type | Individual
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Provider Name | MARK CATLETT CIFELLI PHARMD, BCPS, BCACP
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Gender | Male
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 06/06/2020
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Provider Practice Location Address
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Address Line | 955 AIRPORT RD APT 512
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City | DESTIN
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State | FL
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Zip | 32541-2829
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Country | US
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Telephone | 908-698-1751
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Fax |
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Provider Business Mailing Address
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Address Line | 955 AIRPORT RD APT 1223
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City | DESTIN
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State | FL
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Zip | 32541-2818
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Country | US
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Telephone |
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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 | 28RI03480300
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License Number State | NJ
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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 | RPH027432
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 51230
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202212550
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 3155664
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 6151587
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS48759
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License Number State | FL
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