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General NPI Number Information
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NPI Number | 1184646986
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Entity Type | Individual
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Provider Name | MARC R KASSMAN RPH
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 11514 BEACH CHANNEL DR
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City | ROCKAWAY PARK
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State | NY
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Zip | 11694-2206
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Country | US
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Telephone | 718-689-0948
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Fax | 718-691-4610
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Provider Business Mailing Address
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Address Line | 4137 220TH PLACE
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City | BAYSIDE
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State | NY
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Zip | 11361
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Country | US
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Telephone | 718-423-7571
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Fax | 718-423-7571
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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 | 045331
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License Number State | NY
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