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General NPI Number Information
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NPI Number | 1942485461
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Entity Type | Individual
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Provider Name | FRANK WRETZEL R PH
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Gender | Male
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 2308 BLEECKER ST
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City | UTICA
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State | NY
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Zip | 13501-1746
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Country | US
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Telephone | 315-624-0050
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Fax | 315-624-0051
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Provider Business Mailing Address
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Address Line | 8807 MADELEINE DR
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City | BALDWINSVILLE
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State | NY
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Zip | 13027-8917
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Country | US
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Telephone | 315-635-8530
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Fax | 315-635-6999
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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 | 026782
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License Number State | NY
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