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General NPI Number Information
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NPI Number | 1336323187
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Entity Type | Individual
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Provider Name | MS. MING JAW
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Gender | Female
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 149 MARKET ST
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City | AMSTERDAM
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State | NY
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Zip | 12010-3626
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Country | US
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Telephone | 518-842-8336
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Fax |
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Provider Business Mailing Address
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Address Line | 2722 STATE HIGHWAY 67
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City | AMSTERDAM
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State | NY
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Zip | 12010-6817
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Country | US
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Telephone | 518-843-3784
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Fax | 518-843-3784
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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 | 027174
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License Number State | NY
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