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General NPI Number Information
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NPI Number | 1407650252
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Entity Type | Individual
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Provider Name | BRIANNA OBAS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 114 LONG BEACH RD
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City | ISLAND PARK
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State | NY
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Zip | 11558-1439
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Country | US
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Telephone | 516-208-6698
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Fax |
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Provider Business Mailing Address
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Address Line | 184 WICKSHIRE DR
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City | EAST MEADOW
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State | NY
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Zip | 11554-1545
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Country | US
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Telephone |
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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 | 072528
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License Number State | NY
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