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General NPI Number Information
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NPI Number | 1063640811
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Entity Type | Organization
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Legal Business Name | MIDTOWN EAST PHARMACY & SURGICAL LLC
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 06/09/2016
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Provider Practice Location Address
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Address Line | 161 MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10016-5421
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Country | US
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Telephone | 212-213-2444
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Fax | 212-213-2877
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Provider Business Mailing Address
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Address Line | 161 MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10016-5421
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Country | US
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Telephone | 212-213-2444
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Fax | 212-213-2877
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Authorized Official
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Title or Position | MEMBER
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Name | GALIA AVIDAR
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Credential |
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Telephone | 212-213-2444
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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 | 029513
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License Number State | NY
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