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General NPI Number Information
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NPI Number | 1891777116
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Entity Type | Organization
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Legal Business Name | SOUND SHORE PHARMACY INC
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 107 W 4TH ST
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City | MOUNT VERNON
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State | NY
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Zip | 10550-4002
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Country | US
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Telephone | 914-699-0235
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Fax | 914-699-3540
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Provider Business Mailing Address
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Address Line | 107 W 4TH ST
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City | MOUNT VERNON
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State | NY
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Zip | 10550-4002
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Country | US
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Telephone | 914-699-0235
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Fax | 914-699-3540
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Authorized Official
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Title or Position | PHARMACIST
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Name | ROBERT SPIEL
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Credential |
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Telephone | 914-699-0235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 023121
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License Number State | NY
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