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General NPI Number Information
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NPI Number | 1528372695
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Entity Type | Individual
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Provider Name | HENRY KAM PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 08/01/2010
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Last Update Date | 08/01/2010
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Provider Practice Location Address
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Address Line | 6502 18TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11204-3702
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Country | US
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Telephone | 718-331-4580
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Fax |
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Provider Business Mailing Address
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Address Line | 1709 BENSON AVE
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City | BROOKLYN
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State | NY
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Zip | 11214-3668
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Country | US
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Telephone | 718-673-7589
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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 | 054831
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License Number State | NY
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