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General NPI Number Information
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NPI Number | 1942507652
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Entity Type | Individual
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Provider Name | KAYSHANIE DEVINA NARAIN R. PH
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Gender | Female
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Dates
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Enumeration Date | 02/15/2011
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 1025A 3RD AVE
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City | NEW YORK
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State | NY
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Zip | 10065-8501
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Country | US
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Telephone | 212-750-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 10310 91ST ST
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City | OZONE PARK
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State | NY
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Zip | 11417-1302
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Country | US
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Telephone | 212-750-4100
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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 | 055455
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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 | 28RI03409000
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License Number State | NJ
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