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General NPI Number Information
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NPI Number | 1992075816
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Entity Type | Individual
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Provider Name | CECILIA LUYAO RPH.
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Gender | Female
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Dates
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Enumeration Date | 01/10/2012
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Last Update Date | 01/10/2012
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Provider Practice Location Address
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Address Line | 2480 US HIGHWAY 19
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City | HOLIDAY
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State | FL
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Zip | 34691-3943
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Country | US
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Telephone | 727-937-3247
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Fax |
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Provider Business Mailing Address
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Address Line | 101 S OLD COACHMAN RD APT 502
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City | CLEARWATER
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State | FL
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Zip | 33765-4428
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Country | US
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Telephone | 239-994-2139
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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 | PS29253
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1835N0905X
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Taxonomy Name | Nuclear Pharmacist
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License Number | NP169
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License Number State | FL
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