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General NPI Number Information
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NPI Number | 1619798071
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Entity Type | Individual
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Provider Name | ALICE ADACHI-BARTHOLOMAY
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Gender | Female
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | PO BOX 1027
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City | BUFFALO
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State | NY
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Zip | 14240-1027
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Country | US
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Telephone | 716-635-5954
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Fax |
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Provider Business Mailing Address
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Address Line | 28 RUSSELL ST
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City | BUFFALO
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State | NY
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Zip | 14214-1930
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Country | US
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Telephone | 631-816-9603
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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 | 072158
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License Number State | NY
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