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General NPI Number Information
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NPI Number | 1689998791
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Entity Type | Individual
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Provider Name | PAUL VINCENT ONGSUECO RODRIGUEZ PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 2833 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10025
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Country | US
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Telephone | 212-663-3135
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Fax | 212-663-8153
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Provider Business Mailing Address
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Address Line | 135-42 COOLIDGE AVE, APT #2
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City | QUEENS
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State | NY
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Zip | 11435
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Country | US
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Telephone | 347-223-9390
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Fax | 212-663-8153
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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 | 20053795
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License Number State | NY
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