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General NPI Number Information
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NPI Number | 1053326678
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Entity Type | Organization
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Legal Business Name | NEW NEIGHBORHOOD PHARMACY INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 4512 GREENPOINT AVE
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City | SUNNYSIDE
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State | NY
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Zip | 11104-2410
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Country | US
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Telephone | 718-361-6060
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Fax | 718-361-3119
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Provider Business Mailing Address
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Address Line | 4512 GREENPOINT AVE
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City | SUNNYSIDE
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State | NY
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Zip | 11104-2410
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Country | US
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Telephone | 718-361-6060
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Fax | 718-361-3119
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Authorized Official
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Title or Position | PRESIDENT
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Name | DMITRI DANIAROV
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Credential |
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Telephone | 718-361-6060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 027577
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License Number State | NY
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