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General NPI Number Information
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NPI Number | 1346965373
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Entity Type | Individual
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Provider Name | GETZABETH ENID BOSQUES GOMEZ PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/12/2022
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 6817 BAY PARKWAY CVS
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City | BROOKLYN
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State | NY
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Zip | 11204
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Country | US
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Telephone | 787-690-0309
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 NOSTRAND AVE APT 7V
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City | BROOKLYN
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State | NY
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Zip | 11210-4721
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Country | US
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Telephone | 787-690-0309
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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 | 069134
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License Number State | NY
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