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General NPI Number Information
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NPI Number | 1992836019
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Entity Type | Individual
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Provider Name | MARY O'SHEA CELLA RPH
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 281 AVENUE OF THE AMERICAS
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City | NEW YORK
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State | NY
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Zip | 10014-4723
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Country | US
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Telephone | 212-424-3033
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Fax |
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Provider Business Mailing Address
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Address Line | 25 CHEEVER PL
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City | BROOKLYN
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State | NY
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Zip | 11231-3091
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Country | US
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Telephone | 718-596-7592
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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 | 026334-2
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License Number State | NY
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