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NPI 1538464243

NPI 1538464243 : ANNEMARIE ELIZABETH PRESTA RPH : BRONX, NY

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General NPI Number Information
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    NPI Number           |    1538464243
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    Entity Type          |    Individual 
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    Provider Name        |    ANNEMARIE ELIZABETH PRESTA RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/12/2011
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    Last Update Date     |    01/12/2011
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Provider Practice Location Address
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    Address Line         |    1070 SOUTHERN BLVD 
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    City                 |    BRONX
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    State                |    NY
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    Zip                  |    10459-3268
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    Country              |    US
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    Telephone            |    718-542-7955
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    43 PRINCETON AVE 
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    City                 |    YONKERS
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    State                |    NY
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    Zip                  |    10710-3117
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    Country              |    US
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    Telephone            |    914-793-3766
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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       |    039614
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    License Number State |    NY
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