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General NPI Number Information
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NPI Number | 1841476702
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Entity Type | Individual
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Provider Name | MILANA DZHURAYEVA PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 22214 LINDEN BLVD
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City | CAMBRIA HEIGHTS
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State | NY
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Zip | 11411-1606
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Country | US
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Telephone | 718-949-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 13951 PERSHING CRES
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City | JAMAICA
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State | NY
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Zip | 11435-1944
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Country | US
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Telephone | 718-374-3414
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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 | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 049824
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 049824
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License Number State | NY
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