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General NPI Number Information
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NPI Number | 1982996310
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Entity Type | Individual
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Provider Name | SHARON MARTELLA RPH
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Gender | Female
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 05/04/2011
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Provider Practice Location Address
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Address Line | 11211 S DIXIE HWY
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City | PINECREST
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State | FL
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Zip | 33156-4441
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Country | US
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Telephone | 786-242-3456
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Fax |
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Provider Business Mailing Address
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Address Line | 6400 SW 145TH ST
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City | CORAL GABLES
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State | FL
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Zip | 33158-1836
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Country | US
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Telephone | 305-256-4534
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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 | PS25903
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License Number State | FL
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