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NPI 1790090793

NPI 1790090793 : LINDSAY BROOKE GOLDSTEIN PHARMD : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1790090793
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSAY BROOKE GOLDSTEIN PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/13/2010
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    Last Update Date     |    08/13/2010
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Provider Practice Location Address
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    Address Line         |    1294 LEXINGTON AVE 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10128-1104
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    Country              |    US
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    Telephone            |    212-996-3000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7350 BELL BLVD APT 2E
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    City                 |    OAKLAND GARDENS
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    State                |    NY
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    Zip                  |    11364-2938
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    Country              |    US
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    Telephone            |    347-722-0102
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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       |    054929
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    License Number State |    NY
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