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General NPI Number Information
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NPI Number | 1871552547
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Entity Type | Individual
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Provider Name | ROBERT J. RUGGIERO PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 06/24/2011
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Provider Practice Location Address
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Address Line | 79 MIDDLEVILLE RD
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City | NORTHPORT
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State | NY
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Zip | 11768-2200
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Country | US
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Telephone | 163-126-1440
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Fax | 163-126-6602
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Provider Business Mailing Address
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Address Line | 4044 MEADOW LN
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City | SEAFORD
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State | NY
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Zip | 11783-1532
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Country | US
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Telephone | 151-640-9664
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 037604
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License Number State | NY
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