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General NPI Number Information
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NPI Number | 1104933423
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Entity Type | Organization
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Legal Business Name | JEWEL OF FLUSHING RX INC
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 09/25/2014
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Provider Practice Location Address
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Address Line | 70-35 ARSONS BLVD
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City | FLUSHING
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State | NY
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Zip | 11365-3097
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Country | US
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Telephone | 718-591-1040
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Fax | 718-591-4655
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Provider Business Mailing Address
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Address Line | 7035 PARSONS BLVD
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City | FLUSHING
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State | NY
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Zip | 11365-3049
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Country | US
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Telephone | 718-591-1040
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Fax | 718-591-4655
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Authorized Official
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Title or Position | PHARMACIST
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Name | NADEEM KAUSAR
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Credential |
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Telephone | 914-738-3333
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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 | 030793
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License Number State | NY
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