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General NPI Number Information
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NPI Number | 1750708921
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Entity Type | Individual
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Provider Name | FABIOLA MIRIENNE EDOUARD PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 1275 YORK AVE
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City | NEW YORK
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State | NY
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Zip | 10065-6007
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Country | US
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Telephone | 212-639-3205
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Fax |
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Provider Business Mailing Address
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Address Line | 123 HIRSCHFELD PL
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City | NEW MILFORD
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State | NJ
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Zip | 07646-1132
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Country | US
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Telephone | 646-643-3320
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Fax | 718-343-0096
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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 | 059020
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License Number State | NY
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