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General NPI Number Information
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NPI Number | 1952897662
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Entity Type | Individual
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Provider Name | FRANK PATRICK MACIAS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2018
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Last Update Date | 07/05/2018
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Provider Practice Location Address
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Address Line | 12900 TRADE WAY FOUR
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-6983
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Country | US
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Telephone | 239-992-7508
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Fax | 239-992-9670
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Provider Business Mailing Address
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Address Line | 5308 GRAND CYPRESS CIR APT 103
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City | NAPLES
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State | FL
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Zip | 34109-5939
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Country | US
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Telephone | 239-298-9513
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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 | PS57529
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License Number State | FL
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