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General NPI Number Information
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NPI Number | 1053452961
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Entity Type | Organization
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Legal Business Name | AVENUE F PHARMACY INC.
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 10/01/2007
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Provider Practice Location Address
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Address Line | 103 AVENUE F
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City | BROOKLYN
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State | NY
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Zip | 11218-5601
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Country | US
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Telephone | 718-437-2282
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Fax | 718-437-0964
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Provider Business Mailing Address
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Address Line | 103 AVENUE F
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City | BROOKLYN
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State | NY
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Zip | 11218-5601
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Country | US
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Telephone | 718-437-2282
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Fax | 718-437-0964
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. BEN-ZION MILLER
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Credential | RPH, PHARM. D., ESQ.
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Telephone | 718-437-2282
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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 | 047986
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License Number State | NY
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