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General NPI Number Information
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NPI Number | 1093924219
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Entity Type | Individual
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Provider Name | NORBERTO ANTONIO ALBERTO RPH, MS, HSCD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 16 CLINTON PL
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City | MASSAPEQUA
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State | NY
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Zip | 11758-7955
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Country | US
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Telephone | 917-771-8090
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Fax | 212-423-1344
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Provider Business Mailing Address
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Address Line | 16 CLINTON PL
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City | MASSAPEQUA
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State | NY
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Zip | 11758-7955
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Country | US
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Telephone | 917-771-8090
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Fax | 212-312-5287
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 041628
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | PS 28401
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License Number State | FL
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