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General NPI Number Information
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NPI Number | 1720257231
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Entity Type | Individual
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Provider Name | ANDREA FOX BS PHARM
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Gender | Female
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 3501 AMBOY RD
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City | STATEN ISLAND
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State | NY
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Zip | 10306
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Country | US
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Telephone | 718-227-0667
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Fax |
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Provider Business Mailing Address
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Address Line | 43 ALLEN PL
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City | STATEN ISLAND
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State | NY
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Zip | 10312-5901
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Country | US
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Telephone | 718-948-3873
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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 | 044679
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License Number State | NY
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