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General NPI Number Information
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NPI Number | 1366765281
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Entity Type | Individual
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Provider Name | THOMAS J ABBRUSCATO RPH
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Gender | Male
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Dates
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Enumeration Date | 03/05/2010
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Last Update Date | 03/05/2010
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Provider Practice Location Address
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Address Line | 1036 MAIN ST
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City | HOLBROOK
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State | NY
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Zip | 11741-1606
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Country | US
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Telephone | 631-585-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 33 EVELYN CT
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City | MANORVILLE
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State | NY
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Zip | 11949-2812
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Country | US
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Telephone | 631-399-4346
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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 | 36569
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License Number State | NY
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