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General NPI Number Information
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NPI Number | 1205159142
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Entity Type | Individual
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Provider Name | ROBERT D ROY RPH
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Gender | Male
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Dates
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Enumeration Date | 03/07/2010
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Last Update Date | 03/07/2010
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Provider Practice Location Address
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Address Line | 414 6TH AVE
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City | NEW YORK
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State | NY
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Zip | 10011-8416
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Country | US
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Telephone | 212-533-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 11 SHERMAN DR
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City | GARNERVILLE
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State | NY
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Zip | 10923-1919
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Country | US
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Telephone | 845-362-0461
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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 | 31012
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License Number State | NY
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