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General NPI Number Information
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NPI Number | 1952991473
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Entity Type | Individual
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Provider Name | STEVEN BOSKAT PHARMD
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Gender | Male
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 1326 PLANTATION RD NE
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City | ROANOKE
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State | VA
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Zip | 24012-5713
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Country | US
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Telephone | 540-342-8979
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Fax | 800-999-6812
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Provider Business Mailing Address
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Address Line | 806 WASENA AVE SW APT 209
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City | ROANOKE
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State | VA
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Zip | 24015-5352
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Country | US
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Telephone | 716-640-5624
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Fax | 800-999-6812
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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 | 0202208604
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License Number State | VA
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