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General NPI Number Information
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NPI Number | 1063656627
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Entity Type | Individual
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Provider Name | LESTER ALLAN GOLDSCHMIDT MS, RPH
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Gender | Male
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Dates
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Enumeration Date | 04/27/2009
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Last Update Date | 04/27/2009
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Provider Practice Location Address
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Address Line | 2975 HORSEBLOCK RD TARGET PHARMACY
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City | MEDFORD
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State | NY
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Zip | 11763-2526
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Country | US
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Telephone | 631-286-1854
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Fax | 631-286-1854
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Provider Business Mailing Address
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Address Line | 11 STANLEY PL
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City | HAUPPAUGE
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State | NY
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Zip | 11788-2717
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Country | US
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Telephone | 631-286-1854
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Fax | 631-862-1854
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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 | 026846
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License Number State | NY
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