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General NPI Number Information
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NPI Number | 1063329860
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Entity Type | Individual
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Provider Name | SANJANA C ABRAHAM
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Gender | Female
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 71 S BROADWAY
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City | YONKERS
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State | NY
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Zip | 10701-4004
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Country | US
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Telephone | 917-932-3595
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Fax |
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Provider Business Mailing Address
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Address Line | 1091 WILLOWBROOK RD
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City | STATEN ISLAND
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State | NY
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Zip | 10314-6514
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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 | 074127
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License Number State | NY
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