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General NPI Number Information
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NPI Number | 1528498722
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Entity Type | Individual
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Provider Name | YURI SOROCHKIN RPH
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Gender | Male
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Dates
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Enumeration Date | 11/25/2013
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Last Update Date | 11/25/2013
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Provider Practice Location Address
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Address Line | 45 ROBINSON AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10312-6502
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Country | US
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Telephone | 718-344-9935
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Fax |
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Provider Business Mailing Address
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Address Line | 45 ROBINSON AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10312-6502
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Country | US
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Telephone |
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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 | 047229
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI02639000
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP440002
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS34652
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License Number State | FL
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