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General NPI Number Information
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NPI Number | 1295919447
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Entity Type | Individual
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Provider Name | /VICTORIA KERZHNER
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Gender | Female
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Dates
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Enumeration Date | 12/24/2007
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Last Update Date | 12/24/2007
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Provider Practice Location Address
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Address Line | 55 E 55TH ST
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City | NEW YORK
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State | NY
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Zip | 10022-3205
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Country | US
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Telephone | 212-750-9095
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Fax | 212-308-6026
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Provider Business Mailing Address
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Address Line | 636 DIANE PL
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City | VALLEY STREAM
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State | NY
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Zip | 11581-3008
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Country | US
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Telephone | 516-791-2775
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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 | 042864-1
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License Number State | NY
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