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General NPI Number Information
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NPI Number | 1609806751
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Entity Type | Individual
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Provider Name | COURTNEY CARROLL NYITRAI PHARM D
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Gender | Female
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | TLC HEALTH NETWORK 845 ROUTES 5 &20
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City | IRVING
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State | NY
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Zip | 14081
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Country | US
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Telephone | 716-951-7000
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Fax | 716-951-7185
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Provider Business Mailing Address
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Address Line | 845 ROUTES 5 & 20
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City | IRVING
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State | NY
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Zip | 14081
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Country | US
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Telephone | 716-951-7000
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Fax | 716-951-7185
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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 | 048770-1
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License Number State | NY
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