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General NPI Number Information
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NPI Number | 1487978714
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Entity Type | Individual
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Provider Name | ANTHONY J LONGO SR. RPH, PHARMD
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Gender | Male
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Dates
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Enumeration Date | 03/15/2010
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Last Update Date | 09/11/2012
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Provider Practice Location Address
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Address Line | 26901 76TH AVE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1433
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Country | US
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Telephone | 718-470-5183
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Fax |
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Provider Business Mailing Address
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Address Line | 19 NOBLE ST
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City | LYNBROOK
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State | NY
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Zip | 11563-2238
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Country | US
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Telephone | 516-887-4998
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Fax | 516-887-1110
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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 | 041687
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 041687
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License Number State | NY
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