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General NPI Number Information
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NPI Number | 1154928935
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Entity Type | Organization
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Legal Business Name | NYTEK PHARMACY CONSULTANTS, PLLC
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Dates
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Enumeration Date | 10/05/2020
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | 1183 BELLEMEAD CT
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City | NISKAYUNA
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State | NY
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Zip | 12309-2704
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Country | US
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Telephone | 315-481-5184
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Fax |
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Provider Business Mailing Address
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Address Line | 1183 BELLEMEAD CT
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City | NISKAYUNA
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State | NY
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Zip | 12309-2704
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Country | US
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Telephone | 315-481-5184
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | ZACHARY MARTEN BRATEK
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Credential | PHARM.D
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Telephone | 315-481-5184
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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 |
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License Number State |
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