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General NPI Number Information
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NPI Number | 1659363695
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Entity Type | Individual
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Provider Name | DONALD JAMES CANTALINO RPH
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Gender | Male
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 546 UNIONDALE AVE
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City | UNIONDALE
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State | NY
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Zip | 11553-2202
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Country | US
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Telephone | 516-486-4333
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Fax | 516-486-0464
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Provider Business Mailing Address
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Address Line | 275 WOODLAND DR
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City | BRIGHTWATERS
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State | NY
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Zip | 11718-1920
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Country | US
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Telephone | 631-666-8181
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Fax | 631-666-4555
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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 | 035137
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License Number State | NY
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