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General NPI Number Information
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NPI Number | 1164409280
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Entity Type | Organization
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Legal Business Name | NAMDOR INC.
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 101 CLARK ST
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City | BROOKLYN
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State | NY
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Zip | 11201-2746
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Country | US
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Telephone | 718-834-9003
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Fax | 718-222-5856
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Provider Business Mailing Address
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Address Line | 101 CLARK ST
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City | BROOKLYN
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State | NY
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Zip | 11201-2746
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Country | US
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Telephone | 718-834-9003
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Fax | 718-222-5856
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. RENEE FLORES
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Credential |
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Telephone | 212-373-8440
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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 | 024200
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License Number State | NY
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