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General NPI Number Information
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NPI Number | 1083048797
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Entity Type | Individual
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Provider Name | BORIS ABRAMOV PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 500 NEWFIELD AVE APT 4C
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City | STAMFORD
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State | CT
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Zip | 06905-3712
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | 500 NEWFIELD AVE APT 4C
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City | STAMFORD
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State | CT
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Zip | 06905-3712
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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 | 1-17018
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PCT.0012817
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 061564-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2013022753
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License Number State | MO
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