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NPI 1528190501

NPI 1528190501 : ANNE HUSELSTEIN RPH : SALAMANCA, NY

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General NPI Number Information
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    NPI Number           |    1528190501
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    Entity Type          |    Individual 
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    Provider Name        |    ANNE HUSELSTEIN RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/12/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    987 R C HOAG DR 
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    City                 |    SALAMANCA
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    State                |    NY
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    Zip                  |    14779-1365
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    Country              |    US
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    Telephone            |    716-945-5894
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    Fax                  |    716-945-0308
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Provider Business Mailing Address
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    Address Line         |    839 CROWN ST 
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    City                 |    OLEAN
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    State                |    NY
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    Zip                  |    14760-3114
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    Country              |    US
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    Telephone            |    716-945-5894
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    Fax                  |    716-945-0308
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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       |    048140
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    License Number State |    NY
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