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General NPI Number Information
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NPI Number | 1508049347
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Entity Type | Individual
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Provider Name | MIGUEL BARON PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 12/16/2007
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Last Update Date | 12/16/2007
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Provider Practice Location Address
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Address Line | 188 DYCKMAN ST
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City | NEW YORK
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State | NY
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Zip | 10040-1004
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Country | US
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Telephone | 212-567-1282
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Fax |
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Provider Business Mailing Address
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Address Line | 440 N BROADWAY APT 19 YONKERS
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City | YONKERS
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State | NY
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Zip | 10701-1939
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Country | US
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Telephone | 914-965-9362
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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 | 043475
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License Number State | NY
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