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NPI 1619023892

NPI 1619023892 : YELENA YOFFE RPH : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1619023892
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    Entity Type          |    Individual 
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    Provider Name        |    YELENA YOFFE RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/28/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    719 W 181ST ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10033-4731
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    Country              |    US
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    Telephone            |    212-781-0707
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    Fax                  |    212-781-0717
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Provider Business Mailing Address
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    Address Line         |    18 W 70TH ST # 2A 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10023-4602
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    Country              |    US
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    Telephone            |    212-781-0707
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    Fax                  |    212-781-0717
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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       |    044315
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    License Number State |    NY
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