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General NPI Number Information
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NPI Number | 1720269475
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Entity Type | Individual
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Provider Name | RIMMA KOGAN RPH
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Gender | Female
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Dates
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Enumeration Date | 11/23/2007
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 350 NEW YORK AVE
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City | BROOKLYN
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State | NY
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Zip | 11213-4228
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Country | US
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Telephone | 718-941-8694
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Fax | 718-941-6503
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Provider Business Mailing Address
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Address Line | 2764 MILL AVE
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City | BROOKLYN
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State | NY
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Zip | 11234-6422
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Country | US
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Telephone | 718-941-8694
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Fax | 718-941-6503
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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 | 046734
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License Number State | NY
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