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General NPI Number Information
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NPI Number | 1518146141
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Entity Type | Individual
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Provider Name | ALBERT A MAU RPH
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Gender | Male
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 125 WHITE SPRUCE BLVD
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City | ROCHESTER
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State | NY
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Zip | 14623-1607
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Country | US
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Telephone | 585-424-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 50 BELLMAWR DR
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City | ROCHESTER
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State | NY
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Zip | 14624-4627
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Country | US
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Telephone | 585-889-3570
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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 | 24417
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License Number State | NY
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