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General NPI Number Information
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NPI Number | 1558684308
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Entity Type | Individual
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Provider Name | CHARLES TABOUCHIRANI B.S. PHARM
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Gender | Male
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 03/09/2010
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Provider Practice Location Address
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Address Line | 207 E 66TH ST
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City | NEW YORK
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State | NY
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Zip | 10065-6453
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Country | US
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Telephone | 212-717-7797
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Fax | 212-717-7566
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Provider Business Mailing Address
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Address Line | 500 E 85TH ST APT 12H
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City | NEW YORK
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State | NY
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Zip | 10028-7405
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Country | US
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Telephone | 212-717-7797
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Fax | 212-717-7566
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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 | 042026
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License Number State | NY
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