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General NPI Number Information
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NPI Number | 1629396783
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Entity Type | Individual
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Provider Name | WILLIAM ALFREDO JAMIESON RPH
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Gender | Male
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 05/12/2010
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Provider Practice Location Address
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Address Line | 542 SOUTHERN BLVD
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City | BRONX
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State | NY
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Zip | 10455-3715
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Country | US
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Telephone | 718-665-6771
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Fax | 781-866-5104
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Provider Business Mailing Address
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Address Line | 303 HERITAGE LN
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City | MONROE
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State | NY
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Zip | 10950-5173
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Country | US
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Telephone | 845-988-7273
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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 | 36435
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License Number State | NY
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