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General NPI Number Information
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NPI Number | 1922383942
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Entity Type | Individual
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Provider Name | GINA CRISTIANO PHARM D
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Gender | Female
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Dates
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Enumeration Date | 10/21/2011
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Last Update Date | 10/21/2011
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Provider Practice Location Address
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Address Line | 206 GLEN COVE AVE
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City | GLEN COVE
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State | NY
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Zip | 11542-4191
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Country | US
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Telephone | 516-676-1334
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Fax |
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Provider Business Mailing Address
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Address Line | 2971 AVENUE R
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City | BROOKLYN
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State | NY
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Zip | 11229-2642
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Country | US
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Telephone | 917-681-3431
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 056418
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License Number State | NY
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