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General NPI Number Information
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NPI Number | 1144590860
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Entity Type | Organization
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Legal Business Name | AHAVA GROUP II
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 5115 BEACH CHANNEL DR
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-1042
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Country | US
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Telephone | 718-629-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 5350 KINGS HWY
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City | BROOKLYN
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State | NY
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Zip | 11203-6703
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Country | US
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Telephone | 718-629-1000
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Fax |
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Authorized Official
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Title or Position | PRIN
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Name | FAYE S ZAKHEIM
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Credential |
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Telephone | 718-629-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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