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General NPI Number Information
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NPI Number | 1164139648
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Entity Type | Organization
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Legal Business Name | SUNSHINERX PHARMACY INC
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Dates
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Enumeration Date | 11/03/2022
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 13236 41ST AVE # C1
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City | FLUSHING
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State | NY
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Zip | 11355-4167
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Country | US
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Telephone | 718-663-2891
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Fax | 718-663-2887
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Provider Business Mailing Address
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Address Line | 13236 41ST AVE # C1
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City | FLUSHING
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State | NY
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Zip | 11355-4167
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Country | US
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Telephone | 718-663-2891
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Fax | 718-663-2887
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Authorized Official
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Title or Position | OWNER
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Name | MENG MENG
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Credential |
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Telephone | 917-547-7988
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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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