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General NPI Number Information
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NPI Number | 1538491436
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Entity Type | Individual
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Provider Name | VANESSA GORIS-SANCHEZ RPH
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Gender | Female
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 5711 MYRTLE AVE
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City | RIDGEWOOD
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State | NY
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Zip | 11385-4933
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Country | US
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Telephone | 718-456-2602
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Fax | 718-456-2832
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Provider Business Mailing Address
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Address Line | 15325 79TH AVE APT 3
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City | FLUSHING
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State | NY
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Zip | 11367-3933
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Country | US
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Telephone | 917-664-4619
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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 | 048469
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License Number State | NY
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