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General NPI Number Information
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NPI Number | 1629393046
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Entity Type | Individual
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Provider Name | JOHN FERRANDINO X RPH
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Gender | Male
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Dates
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Enumeration Date | 03/29/2010
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Last Update Date | 03/29/2010
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Provider Practice Location Address
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Address Line | 358 7TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11215-4315
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Country | US
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Telephone | 718-965-0565
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Fax | 718-965-4204
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Provider Business Mailing Address
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Address Line | 142 BEACH 128TH ST
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City | BELLE HARBOR
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State | NY
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Zip | 11694-1605
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Country | US
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Telephone | 718-945-9311
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Fax | 718-965-4204
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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 | 034074
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License Number State | NY
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