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General NPI Number Information
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NPI Number | 1982978011
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Entity Type | Organization
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Legal Business Name | AMERICAN OUTCOMES MANAGEMENT OF NEW YORK LP
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Dates
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Enumeration Date | 03/07/2012
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Last Update Date | 03/16/2012
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Provider Practice Location Address
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Address Line | 1395 NW 17TH AVE STE 103
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City | DELRAY BEACH
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State | FL
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Zip | 33445-2552
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Country | US
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Telephone | 561-860-8300
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Fax | 561-860-8319
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Provider Business Mailing Address
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Address Line | 1395 NW 17TH AVE STE 103
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City | DELRAY BEACH
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State | FL
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Zip | 33445-2551
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Country | US
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Telephone | 561-860-8300
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Fax | 561-860-8319
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Authorized Official
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Title or Position | COO
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Name | SHERRI BENSON
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Credential |
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Telephone | 800-556-4246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | PH25975
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License Number State | FL
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