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General NPI Number Information
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NPI Number | 1104004456
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Entity Type | Individual
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Provider Name | ALAN CARL FRUSTIERI RPH
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Gender | Male
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 03/18/2009
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Provider Practice Location Address
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Address Line | 440 9TH AVE APT. 9TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10001-1620
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Country | US
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Telephone | 212-273-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 300 W 23RD ST APT. 3J
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City | NEW YORK
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State | NY
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Zip | 10011-2210
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Country | US
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Telephone | 212-255-7339
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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 | 042483
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License Number State | NY
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