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General NPI Number Information
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NPI Number | 1114072881
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Entity Type | Individual
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Provider Name | LY PHA B TANG RPH
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | LINCOLN HOSPITAL 234 EAST 149 ST - C 23 PHARMACY
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City | BRONX
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State | NY
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Zip | 10451
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Country | US
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Telephone | 718-579-5523
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Fax | 718-579-5003
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Provider Business Mailing Address
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Address Line | 2181 BOGART AVE
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City | BRONX
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State | NY
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Zip | 10462-2107
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Country | US
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Telephone | 718-823-9701
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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 | 046090-1
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License Number State | NY
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