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General NPI Number Information
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NPI Number | 1972783629
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Entity Type | Individual
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Provider Name | JAMES A MASTROIANNI RPH
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Gender | Male
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Dates
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Enumeration Date | 11/10/2007
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Last Update Date | 07/12/2019
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Provider Practice Location Address
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Address Line | 9225 RIVER ROAD
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City | MARCY
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State | NY
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Zip | 13403
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Country | US
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Telephone | 157-687-4703
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Fax |
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Provider Business Mailing Address
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Address Line | 21 FINEVIEW DR
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City | DEERFIELD
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State | NY
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Zip | 13502-1237
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Country | US
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Telephone | 315-734-9425
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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 | 042260
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License Number State | NY
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