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General NPI Number Information
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NPI Number | 1487798617
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Entity Type | Individual
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Provider Name | FRANK CHARLES MINEO R.PH.
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Gender | Male
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 654 COLVIN AVE
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City | KENMORE
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State | NY
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Zip | 14217-2825
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Country | US
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Telephone | 716-447-9080
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Fax |
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Provider Business Mailing Address
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Address Line | 35 RUMSON RD
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City | AMHERST
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State | NY
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Zip | 14228-3045
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Country | US
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Telephone | 716-691-6645
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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 | 025589
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License Number State | NY
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