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General NPI Number Information
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NPI Number | 1003132119
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Entity Type | Individual
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Provider Name | WILLIAM P. VOERG RPH
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Gender | Male
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Dates
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Enumeration Date | 04/14/2010
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Last Update Date | 04/14/2010
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Provider Practice Location Address
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Address Line | 601 FRANK SOTTILE BLVD
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City | KINGSTON
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State | NY
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Zip | 12401-1550
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Country | US
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Telephone | 845-336-7460
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 52
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City | WEST CAMP
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State | NY
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Zip | 12490-0052
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Country | US
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Telephone | 845-246-5498
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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 | 025126-1
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License Number State | NY
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