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General NPI Number Information
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NPI Number | 1508034547
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Entity Type | Individual
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Provider Name | MR. ANTHONY RUDOLPH HUSBANDS
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Gender | Male
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 411 E 138TH ST
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City | BRONX
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State | NY
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Zip | 10454-3004
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Country | US
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Telephone | 718-401-7900
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Fax | 718-401-9275
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Provider Business Mailing Address
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Address Line | 132 HALSEY ST
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City | BROOKLYN
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State | NY
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Zip | 11216-2102
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Country | US
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Telephone | 917-803-3673
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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 | 044778
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License Number State | NY
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