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General NPI Number Information
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NPI Number | 1972880540
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Entity Type | Individual
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Provider Name | DELLIN DIAZ PHARM D
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Gender | Female
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Dates
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Enumeration Date | 11/10/2011
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 5731 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33155-5301
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Country | US
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Telephone | 305-666-0757
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Fax | 305-666-5445
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Provider Business Mailing Address
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Address Line | 13910 SW 39TH ST
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City | MIAMI
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State | FL
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Zip | 33175-6421
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Country | US
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Telephone | 305-807-7828
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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 | 45236
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License Number State | FL
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