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General NPI Number Information
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NPI Number | 1700963287
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Entity Type | Individual
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Provider Name | ANNIE TSIMIS PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 32 HINE ST
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City | PATERSON
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State | NJ
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Zip | 07503-2955
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Country | US
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Telephone | 973-345-6968
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Fax |
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Provider Business Mailing Address
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Address Line | 23 GARDNER AVE
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City | HICKSVILLE
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State | NY
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Zip | 11801-2553
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Country | US
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Telephone | 516-681-4858
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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 | 28RI02987100
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License Number State | NJ
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