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NPI 1396754941

NPI 1396754941 : ALBERTO SEDA R.PH. : BRONX, NY

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General NPI Number Information
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    NPI Number           |    1396754941
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    Entity Type          |    Individual 
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    Provider Name        |    ALBERTO SEDA R.PH.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/05/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    655 E 233RD ST BSF PRESCRIPTION PHARMACY
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10466-2865
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    Country              |    US
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    Telephone            |    718-547-7750
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    Fax                  |    718-653-1283
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Provider Business Mailing Address
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    Address Line         |    1580 PELHAM PKWY S APT 6-J
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10461-1112
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    Country              |    US
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    Telephone            |    917-327-6200
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    Fax                  |    718-653-1283
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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       |    36229
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    License Number State |    NY
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