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General NPI Number Information
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NPI Number | 1215558150
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Entity Type | Individual
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Provider Name | SELENA DAGNINO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/01/2020
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 655 MORRIS AVE STE 2
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City | BRONX
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State | NY
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Zip | 10451-4898
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Country | US
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Telephone | 602-526-7975
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Fax |
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Provider Business Mailing Address
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Address Line | 445 W 36TH ST APT 18
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City | NEW YORK
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State | NY
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Zip | 10018-6315
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Country | US
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Telephone | 602-526-7975
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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 | 066494
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License Number State | NY
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