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General NPI Number Information
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NPI Number | 1295523009
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Entity Type | Individual
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Provider Name | PETER CARANESE
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Gender |
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1324 CONEY ISLAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11230-3521
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Country | US
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Telephone | 347-543-3543
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Fax |
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Provider Business Mailing Address
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Address Line | 750 67TH ST
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City | BROOKLYN
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State | NY
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Zip | 11220-5621
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Country | US
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Telephone | 917-903-6266
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 34665
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License Number State | NY
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