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General NPI Number Information
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NPI Number | 1669843926
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Entity Type | Individual
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Provider Name | MARK LOVITZ PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/13/2015
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Last Update Date | 10/13/2015
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Provider Practice Location Address
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Address Line | 1980 CROMPOND RD
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-4144
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Country | US
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Telephone | 914-734-3235
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Fax | 914-734-3551
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Provider Business Mailing Address
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Address Line | 75 OLD DEER PARK RD
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City | KATONAH
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State | NY
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Zip | 10536-3434
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Country | US
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Telephone | 914-734-3235
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Fax | 914-734-3551
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 040496
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License Number State | NY
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