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General NPI Number Information
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NPI Number | 1710294509
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Entity Type | Individual
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Provider Name | ROOSHI AKRUWALA PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 01/13/2011
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Provider Practice Location Address
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Address Line | 1224 MIDDLE COUNTRY RD
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City | SELDEN
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State | NY
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Zip | 11784-2524
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Country | US
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Telephone | 631-732-1223
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Fax | 631-732-1224
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Provider Business Mailing Address
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Address Line | 48 INDEPENDENCE WAY
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City | MILLER PLACE
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State | NY
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Zip | 11764-2338
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Country | US
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Telephone | 631-732-1223
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Fax | 631-732-1224
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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 | 054544
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License Number State | NY
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