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General NPI Number Information
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NPI Number | 1215250709
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Entity Type | Individual
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Provider Name | LOUIS ANTHONY PISANI R.PH
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Gender | Male
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 40-23 JUNCTION BLVD
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City | CORONA
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State | NY
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Zip | 11368
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Country | US
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Telephone | 718-898-9833
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Fax |
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Provider Business Mailing Address
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Address Line | 99 MARGUERITE AVE SECOND FLOOR
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City | ELMONT
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State | NY
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Zip | 11003
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Country | US
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Telephone | 516-902-0087
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 0296391
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License Number State | NY
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