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General NPI Number Information
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NPI Number | 1114377256
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Entity Type | Organization
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Legal Business Name | ANAYA I INC
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Dates
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Enumeration Date | 06/20/2016
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 23 S MAIN ST
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City | FREEPORT
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State | NY
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Zip | 11520-3603
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Country | US
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Telephone | 516-623-2222
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Fax | 516-378-0041
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Provider Business Mailing Address
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Address Line | 23 S MAIN ST
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City | FREEPORT
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State | NY
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Zip | 11520-3603
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Country | US
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Telephone | 516-623-2222
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Fax | 516-378-0041
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Authorized Official
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Title or Position | MANAGER
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Name | ANKIT DESAI
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Credential |
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Telephone | 347-470-6061
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 034914
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License Number State | NY
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