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General NPI Number Information
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NPI Number | 1275856965
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Entity Type | Individual
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Provider Name | ANATOLIY VINOKUR PHARMD
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Gender | Male
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 249 7AVE
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City | BROOKLYN
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State | NY
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Zip | 11215
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Country | US
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Telephone | 718-768-9567
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Fax |
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Provider Business Mailing Address
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Address Line | 1530 E 8TH ST APT 5K
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City | BROOKLYN
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State | NY
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Zip | 11230-7063
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Country | US
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Telephone | 917-862-7397
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Fax | 718-376-2146
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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 | 52994
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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