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NPI 1144468273

NPI 1144468273 : MR. NEIL BRYAN BROWER SR. : IRVINGTON, NY

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General NPI Number Information
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    NPI Number           |    1144468273
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    Entity Type          |    Individual 
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    Provider Name        |    MR. NEIL BRYAN BROWER SR.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/27/2009
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    Last Update Date     |    01/27/2009
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Provider Practice Location Address
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    Address Line         |    31 HUDSON AVE 
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    City                 |    IRVINGTON
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    State                |    NY
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    Zip                  |    10533-1312
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    Country              |    US
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    Telephone            |    609-513-8027
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    31 HUDSON AVE 
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    City                 |    IRVINGTON
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    State                |    NY
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    Zip                  |    10533-1312
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    Country              |    US
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    Telephone            |    609-513-8027
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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       |    0531831
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    License Number State |    NY
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