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General NPI Number Information
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NPI Number | 1497820112
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Entity Type | Organization
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Legal Business Name | ROBERT BONSIGNORE & IRA WIENER PARTNERS
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 12/24/2009
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Provider Practice Location Address
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Address Line | 1678 BATH AVE
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City | BROOKLYN
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State | NY
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Zip | 11214
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Country | US
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Telephone | 718-256-8413
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Fax | 718-256-2154
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Provider Business Mailing Address
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Address Line | 1678 BATH AVE
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City | BROOKLYN
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State | NY
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Zip | 11214
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Country | US
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Telephone | 718-256-8413
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Fax | 718-256-2154
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Authorized Official
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Title or Position | OWNER PHARMACY
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Name | MR. IRA S WIENER
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Credential |
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Telephone | 718-256-8423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 15454
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License Number State | NY
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