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General NPI Number Information
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NPI Number | 1154509321
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Entity Type | Individual
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Provider Name | VINCENT M ALLEVA RPH
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Gender | Male
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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 | 890 WALT WHITMAN RD
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City | MELVILLE
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State | NY
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Zip | 11747-2214
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Country | US
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Telephone | 631-385-0153
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Fax | 631-385-0168
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Provider Business Mailing Address
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Address Line | 6 PEQUA LN
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City | COMMACK
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State | NY
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Zip | 11725-4213
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Country | US
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Telephone |
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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 | 032333
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License Number State | NY
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