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General NPI Number Information
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NPI Number | 1881867471
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Entity Type | Individual
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Provider Name | HO MING STANLEY LO D.PH
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Gender | Male
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 02/07/2017
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Provider Practice Location Address
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Address Line | 133-42 39TH AVE UNIT 208
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City | FLUSHING
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State | NY
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Zip | 11354-4239
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Country | US
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Telephone | 718-321-7117
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Fax | 718-321-0375
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Provider Business Mailing Address
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Address Line | 133-42 39TH AVE UNIT 208
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City | FLUSHING
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State | NY
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Zip | 11354-4239
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Country | US
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Telephone | 718-321-7117
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Fax | 718-321-0375
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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 | 0499842
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License Number State | NY
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