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General NPI Number Information
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NPI Number | 1073689469
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Entity Type | Organization
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Legal Business Name | AWADCARE PHARMACY INC
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 228 ROUTE 32 OAK CLOVE MALL
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City | CENTRAL VALLEY
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State | NY
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Zip | 10917-3649
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Country | US
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Telephone | 845-928-1117
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Fax | 845-928-1120
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Provider Business Mailing Address
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Address Line | 228 ROUTE 32 OAK CLOVE MALL
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City | CENTRAL VALLEY
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State | NY
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Zip | 10917-3649
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Country | US
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Telephone | 845-928-1117
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Fax | 845-928-1120
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Authorized Official
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Title or Position | OWNER
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Name | MR. NABIL AWAD
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Credential | R.PH.
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Telephone | 845-928-1117
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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 | 043539
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License Number State | NY
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