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General NPI Number Information
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NPI Number | 1063615482
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Entity Type | Individual
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Provider Name | JOSEPH V MANGANELLI PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 CORPORATE BLVD S CMO
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City | YONKERS
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State | NY
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Zip | 10701-6806
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Country | US
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Telephone | 914-377-4716
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Fax |
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Provider Business Mailing Address
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Address Line | 13 ARLINGTON DRIVE
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City | HARRIMAN
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State | NY
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Zip | 10926
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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 | 035486-1
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License Number State | NY
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