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General NPI Number Information
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NPI Number | 1508048034
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Entity Type | Individual
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Provider Name | JULIA SUNG-MONAHAN RPH
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Gender | Female
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 08/02/2012
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Provider Practice Location Address
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Address Line | 10 W MAIN ST
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City | SMITHTOWN
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State | NY
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Zip | 11787-2615
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Country | US
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Telephone | 631-724-0381
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Fax | 631-366-2688
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Provider Business Mailing Address
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Address Line | 10 WEST MAIN STREET
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City | SMITHTOWN
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State | NY
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Zip | 11787-5004
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Country | US
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Telephone | 631-724-0381
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Fax | 631-366-3789
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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 | 041478
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License Number State | NY
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