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General NPI Number Information
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NPI Number | 1629300918
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Entity Type | Individual
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Provider Name | VALENTINO JOHN SCOTTO R.PH.
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Gender | Male
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Dates
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Enumeration Date | 02/11/2010
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 7407 18TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11204-5614
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Country | US
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Telephone | 718-331-5330
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Fax | 718-331-3779
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Provider Business Mailing Address
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Address Line | 805 ROBINWOOD RD
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City | TOWNSHIP OF WASHINGTON
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State | NJ
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Zip | 07676-4210
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Country | US
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Telephone | 201-664-8533
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Fax | 718-331-3779
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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 | 035835-1
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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 | 28R103258300
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License Number State | NJ
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