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General NPI Number Information
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NPI Number | 1780957977
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Entity Type | Individual
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Provider Name | THERESA LIMONCELLI RPH
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Gender | Female
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Dates
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Enumeration Date | 02/17/2012
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Last Update Date | 03/16/2016
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Provider Practice Location Address
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Address Line | 8721 5TH AVE 3RD FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11209-5230
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Country | US
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Telephone | 347-377-5530
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Fax | 377-377-5550
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Provider Business Mailing Address
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Address Line | 8721 5TH AVE 3RD FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11209-5230
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Country | US
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Telephone | 347-377-5530
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Fax | 377-377-5550
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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 | 0368252
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License Number State | NY
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