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General NPI Number Information
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NPI Number | 1609189844
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Entity Type | Organization
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Legal Business Name | KARINA FERNANDEZ
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Dates
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Enumeration Date | 07/16/2010
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Last Update Date | 07/16/2010
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Provider Practice Location Address
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Address Line | 65-08 ROOSEVELT AVENUE
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City | WOODSIDE
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State | NY
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Zip | 11377-2928
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Country | US
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Telephone | 347-448-6965
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Fax | 347-448-6826
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Provider Business Mailing Address
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Address Line | 65-08 ROOSEVELT AVENUE
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City | WOODSIDE
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State | NY
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Zip | 11377-2928
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Country | US
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Telephone | 347-448-6965
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Fax | 347-448-6826
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Authorized Official
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Title or Position | CERTIFIED PHARMACY TECHNICIAN
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Name | MS. KARINA FERNANDEZ
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Credential |
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Telephone | 347-448-6965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 470101090250491
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License Number State | NY
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