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General NPI Number Information
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NPI Number | 1538340229
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Entity Type | Individual
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Provider Name | MR. RALPH NARDI
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Gender | Male
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Dates
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Enumeration Date | 11/21/2007
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Last Update Date | 11/21/2007
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Provider Practice Location Address
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Address Line | 1508 COLLEGE POINT BLVD
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City | COLLEGE POINT
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State | NY
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Zip | 11356-2210
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Country | US
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Telephone | 718-445-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 17110 BAGLEY AVE
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City | FLUSHING
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State | NY
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Zip | 11358-3824
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Country | US
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Telephone | 718-358-6253
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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 | 030262
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License Number State | NY
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