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General NPI Number Information
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NPI Number | 1760609648
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Entity Type | Individual
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Provider Name | ARTHUR A DADDARIO RPH
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Gender | Male
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 300 GIFFORD ST
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City | SYRACUSE
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State | NY
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Zip | 13204-3257
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Country | US
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Telephone | 315-471-4139
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Fax | 315-471-4155
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Provider Business Mailing Address
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Address Line | 2476 SWIFT RD
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City | LA FAYETTE
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State | NY
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Zip | 13084-9576
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Country | US
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Telephone | 315-677-9650
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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 | 30124
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License Number State | NY
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