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General NPI Number Information
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NPI Number | 1174819973
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Entity Type | Individual
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Provider Name | KIMBERLY SAROSKY PHARM.D., BCPS
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Gender | Female
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 06/21/2011
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Provider Practice Location Address
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Address Line | 1111 AMSTERDAM AVE. DEPARTMENT OF PHARMACY BABCOCK BUILDING 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10025
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Country | US
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Telephone | 212-523-3883
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Fax | 212-523-5703
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Provider Business Mailing Address
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Address Line | 20 RIVER ROAD APT. 17G
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City | NEW YORK
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State | NY
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Zip | 10044
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Country | US
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Telephone | 570-401-0609
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 053266
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 3100881
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License Number State | NY
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