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General NPI Number Information
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NPI Number | 1073097556
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Entity Type | Individual
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Provider Name | MICHELLE KOMLO PHARMD.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2018
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Last Update Date | 01/23/2021
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Provider Practice Location Address
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Address Line | 15705 CROSSBAY BLVD
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City | HOWARD BEACH
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State | NY
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Zip | 11414-2748
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Country | US
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Telephone | 718-848-4507
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Fax |
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Provider Business Mailing Address
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Address Line | 15705 CROSSBAY BLVD
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City | HOWARD BEACH
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State | NY
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Zip | 11414-2774
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Country | US
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Telephone | 718-848-4507
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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 | 064486
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License Number State | NY
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