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General NPI Number Information
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NPI Number | 1083892251
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Entity Type | Individual
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Provider Name | CATHY PAGLIARA R.PH.
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Gender | Female
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Dates
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Enumeration Date | 02/09/2008
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Last Update Date | 02/09/2008
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Provider Practice Location Address
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Address Line | 4054 NESCONSET HWY
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City | SETAUKET
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State | NY
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Zip | 11733-3306
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Country | US
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Telephone | 631-476-1586
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Fax |
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Provider Business Mailing Address
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Address Line | 78 HEMPSTEAD DR
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City | SOUND BEACH
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State | NY
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Zip | 11789-3130
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Country | US
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Telephone | 631-849-4881
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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 | 048534-1
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License Number State | NY
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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 | 24097
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License Number State | MA
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