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General NPI Number Information
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NPI Number | 1407371198
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Entity Type | Individual
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Provider Name | DANIELLE CATHRYN EISEL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/03/2017
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Last Update Date | 08/03/2017
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Provider Practice Location Address
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Address Line | 842 STATE ST
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City | WATERTOWN
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State | NY
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Zip | 13601-2843
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Country | US
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Telephone | 315-783-5246
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Fax | 315-788-8768
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Provider Business Mailing Address
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Address Line | 2929 STODDARD ST APT B
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City | COPENHAGEN
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State | NY
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Zip | 13626-2907
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Country | US
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Telephone | 13157678297
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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 | 062939
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License Number State | NY
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