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General NPI Number Information
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NPI Number | 1205210275
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Entity Type | Individual
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Provider Name | RALPH RENDE
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Gender | Male
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Dates
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Enumeration Date | 07/19/2015
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Last Update Date | 07/19/2015
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Provider Practice Location Address
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Address Line | 460 MAMARONECK AVE
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City | WHITE PLAINS
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State | NY
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Zip | 10605-1802
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Country | US
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Telephone | 914-948-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 51 WILLIAM ST
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City | NORWALK
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State | CT
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Zip | 06851-6006
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Country | US
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Telephone | 203-216-6799
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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 | 027133-1
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License Number State | NY
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