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General NPI Number Information
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NPI Number | 1912340688
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Entity Type | Individual
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Provider Name | LUDOVICK YOUMBI PHARM. D
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Gender | Male
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Dates
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Enumeration Date | 04/12/2013
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Last Update Date | 12/31/2020
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Provider Practice Location Address
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Address Line | 4377 BRONX BLVD
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City | BRONX
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State | NY
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Zip | 10466-1397
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Country | US
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Telephone | 866-293-1559
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Fax | 888-828-6230
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Provider Business Mailing Address
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Address Line | 4377 BRONX BLVD
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City | BRONX
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State | NY
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Zip | 10466-1397
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Country | US
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Telephone | 202-290-9317
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Fax | 888-828-6230
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | 057807
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 057807
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License Number State | NY
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