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General NPI Number Information
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NPI Number | 1598011488
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Entity Type | Individual
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Provider Name | ABISOLA KEMI BAMITEKO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/28/2012
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Last Update Date | 07/28/2012
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Provider Practice Location Address
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Address Line | 1 N LEXINGTON AVE 12TH FLOOR
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City | WHITE PLAINS
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State | NY
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Zip | 10601-1712
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Country | US
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Telephone | 914-288-1050
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Fax |
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Provider Business Mailing Address
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Address Line | 12059 5TH AVE APT. B
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City | COLLEGE POINT
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State | NY
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Zip | 11356-1161
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Country | US
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Telephone | 917-309-0620
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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 | 049997-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03206600
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License Number State | NJ
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