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NPI 1992349682

NPI 1992349682 : ALEKSANDRA ANDRZEJEWSKA : CASSELBERRY, FL

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General NPI Number Information
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    NPI Number           |    1992349682
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    Entity Type          |    Individual 
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    Provider Name        |    ALEKSANDRA ANDRZEJEWSKA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/05/2019
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    Last Update Date     |    11/05/2019
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Provider Practice Location Address
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    Address Line         |    1239 STATE ROAD 436 STE 101 
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    City                 |    CASSELBERRY
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    State                |    FL
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    Zip                  |    32707-6447
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    Country              |    US
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    Telephone            |    407-679-0373
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    Fax                  |    407-679-0616
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Provider Business Mailing Address
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    Address Line         |    4307 WYNDCLIFF CIR 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32817-3308
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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       |    PS48881
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    License Number State |    FL
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