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General NPI Number Information
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NPI Number | 1699128983
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Entity Type | Individual
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Provider Name | BRIAN ANDRES PEREIRA PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2016
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Last Update Date | 07/21/2016
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Provider Practice Location Address
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Address Line | 30 HEMPSTEAD AVE SUITE 156
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4033
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Country | US
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Telephone | 516-764-6161
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Fax | 516-678-3246
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Provider Business Mailing Address
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Address Line | 68 SPRUCE LN
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City | VALLEY STREAM
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State | NY
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Zip | 11581-2621
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Country | US
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Telephone | 516-450-1219
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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 | 061839
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License Number State | NY
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