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General NPI Number Information
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NPI Number | 1154462968
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Entity Type | Organization
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Legal Business Name | PERFEXON DRUG CORP
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 05/13/2011
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Provider Practice Location Address
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Address Line | 86-15 JUSTICE AVE
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City | ELMHURST
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State | NY
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Zip | 11373-4555
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Country | US
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Telephone | 718-760-2600
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Fax | 718-760-3689
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Provider Business Mailing Address
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Address Line | 86-15 JUSTICE AVE
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City | ELMHURST
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State | NY
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Zip | 11373-4555
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Country | US
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Telephone | 718-760-2600
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Fax | 718-760-3689
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. YIE-FRAN YEH
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Credential |
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Telephone | 718-760-2600
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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 | 021719
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License Number State | NY
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