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General NPI Number Information
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NPI Number | 1992252555
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Entity Type | Individual
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Provider Name | MA REGINA FROGOSO
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Gender | Female
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 23 COURT ST
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City | NEWARK
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State | NJ
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Zip | 07102
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Country | US
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Telephone | 862-772-0442
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Fax |
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Provider Business Mailing Address
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Address Line | 8778 112TH ST
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2317
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Country | US
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Telephone | 347-476-4199
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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 | 38RI03753500
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License Number State | NJ
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