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General NPI Number Information
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NPI Number | 1740058403
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Entity Type | Individual
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Provider Name | ALEX ANTHONY RAMBHAROSE RPH
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Gender | Male
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Dates
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Enumeration Date | 12/12/2023
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 1829 GRAND AVE
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City | NORTH BALDWIN
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State | NY
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Zip | 11510-2453
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Country | US
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Telephone | 516-378-7645
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Fax |
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Provider Business Mailing Address
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Address Line | 9009 215TH PL
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428-1229
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Country | US
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Telephone | 347-845-1008
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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 | 071220
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License Number State | NY
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