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General NPI Number Information
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NPI Number | 1053308619
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Entity Type | Individual
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Provider Name | MADALENE BUONAIUTO RPH
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Gender | Male
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2941 WESTCHESTER AVE
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City | BRONX
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State | NY
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Zip | 10461-4534
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Country | US
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Telephone | 718-828-0498
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Fax | 718-828-7491
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Provider Business Mailing Address
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Address Line | 15036 21ST AVE
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City | WHITESTONE
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State | NY
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Zip | 11357-3608
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Country | US
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Telephone | 718-461-4145
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Fax | 718-828-7491
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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 | 34681
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License Number State | NY
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