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General NPI Number Information
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NPI Number | 1134161763
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Entity Type | Organization
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Legal Business Name | CALIBER ENTERPRISES INC
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 02/07/2020
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Provider Practice Location Address
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Address Line | 1311 BROADWAY
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City | HEWLETT
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State | NY
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Zip | 11557-2115
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Country | US
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Telephone | 516-374-2934
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Fax | 516-374-2915
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Provider Business Mailing Address
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Address Line | 749 HILLSIDE AVE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-2515
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Country | US
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Telephone | 516-374-2934
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Fax | 516-374-2915
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | KARTHIK DHAMA
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Credential | RPH
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Telephone | 516-374-2934
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 016339
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License Number State | NY
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