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General NPI Number Information
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NPI Number | 1083040976
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Entity Type | Individual
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Provider Name | ANNAMARIA JANKA
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Gender | Female
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Dates
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Enumeration Date | 09/24/2013
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Last Update Date | 06/20/2020
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Provider Practice Location Address
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Address Line | 661 MAIN ST
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City | PATERSON
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State | NJ
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Zip | 07503-3028
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Country | US
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Telephone | 973-307-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 4013 BROADWAY
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City | ASTORIA
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State | NY
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Zip | 11103-4082
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Country | US
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Telephone | 718-956-0060
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Fax | 718-956-0065
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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 | 058720-1
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License Number State | NY
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