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General NPI Number Information
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NPI Number | 1760618359
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Entity Type | Individual
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Provider Name | ALDO A VIRASI R.PH
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Gender | Male
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 3081 ROUTE 22 C/O CVS SUITE 3
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City | DOVER PLAINS
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State | NY
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Zip | 12522-5933
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Country | US
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Telephone | 845-877-6372
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Fax | 845-877-6524
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Provider Business Mailing Address
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Address Line | 53 CATSKILL AVE
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-6401
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Country | US
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Telephone | 845-452-3048
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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 | 031082-1
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License Number State | NY
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