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General NPI Number Information
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NPI Number | 1679899330
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Entity Type | Individual
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Provider Name | ANTHONY VARIKOS RPH
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Gender | Male
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 07/24/2019
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Provider Practice Location Address
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Address Line | 208-07B LINDEN BLVD
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City | CAMBRIA HEIGHTS
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State | NY
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Zip | 11411-1141
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Country | US
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Telephone | 718-734-2207
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Fax | 718-734-2208
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Provider Business Mailing Address
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Address Line | 142-02 ROCKAWAY BLVD
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City | JAMAICA
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State | NY
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Zip | 11436
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Country | US
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Telephone | 718-323-8377
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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 | 047492
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License Number State | NY
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