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General NPI Number Information
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NPI Number | 1235160821
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Entity Type | Individual
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Provider Name | HOWARD JONATHAN BRASS RPH
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 353 NEWBRIDGE RD
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City | EAST MEADOW
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State | NY
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Zip | 11554-4120
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Country | US
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Telephone | 516-785-0120
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Fax | 516-785-0715
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Provider Business Mailing Address
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Address Line | 1018 S CARLEY CT
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-2007
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Country | US
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Telephone | 516-781-7517
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Fax | 516-785-0715
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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 | 036458-1
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License Number State | NY
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