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General NPI Number Information
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NPI Number | 1982804142
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Entity Type | Individual
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Provider Name | AMY A BLAUVELT PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 12/23/2014
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Provider Practice Location Address
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Address Line | 800 IRVING AVE
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City | SYRACUSE
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State | NY
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Zip | 13210-2716
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Country | US
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Telephone | 315-425-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 4214 ORION PATH
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City | LIVERPOOL
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State | NY
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Zip | 13090-1910
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Country | US
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Telephone |
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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 | RP441157
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License Number State | PA
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