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General NPI Number Information
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NPI Number | 1699007815
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Entity Type | Individual
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Provider Name | IRINA BABOSHKINA PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 02/12/2010
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Last Update Date | 02/12/2010
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Provider Practice Location Address
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Address Line | 1361 HYLAN BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10305-1902
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Country | US
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Telephone | 718-979-2828
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Fax | 718-979-1072
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Provider Business Mailing Address
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Address Line | 95 BISHOP ST
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City | STATEN ISLAND
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State | NY
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Zip | 10306-2145
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Country | US
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Telephone | 718-809-9437
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Fax | 718-979-1072
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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 | 050710-1
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License Number State | NY
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