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General NPI Number Information
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NPI Number | 1447623434
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Entity Type | Individual
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Provider Name | JACOB GREENFELD PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 11/12/2015
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 8406 37TH AVE
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7339
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Country | US
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Telephone | 347-242-3124
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Fax | 347-242-3120
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Provider Business Mailing Address
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Address Line | 7005 137TH ST GROUND FLOOR
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City | FLUSHING
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State | NY
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Zip | 11367-1914
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Country | US
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Telephone | 216-534-4748
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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 | 060443
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License Number State | NY
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