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General NPI Number Information
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NPI Number | 1548736200
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Entity Type | Individual
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Provider Name | YVONNE FAGAN
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Gender | Female
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Dates
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Enumeration Date | 10/22/2018
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Last Update Date | 10/22/2018
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Provider Practice Location Address
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Address Line | 1121 BOSTON POST RD
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City | RYE
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State | NY
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Zip | 10580-2912
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Country | US
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Telephone | 914-921-4192
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E HARTSDALE AVE APT TIW
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City | HARTSDALE
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State | NY
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Zip | 10530-3838
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Country | US
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Telephone | 914-815-5109
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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 | 057684
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License Number State | NY
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