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General NPI Number Information
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NPI Number | 1184134249
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Entity Type | Organization
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Legal Business Name | LEVY'S PHARMACY OF LYNDHURST LLC
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Dates
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Enumeration Date | 10/03/2017
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Last Update Date | 10/03/2017
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Provider Practice Location Address
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Address Line | 299 STUYVESANT AVE
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City | LYNDHURST
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State | NJ
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Zip | 07071-1874
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Country | US
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Telephone | 201-438-1026
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Fax | 201-438-1668
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Provider Business Mailing Address
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Address Line | 299 STUYVESANT AVE
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City | LYNDHURST
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State | NJ
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Zip | 07071-1874
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Country | US
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Telephone | 201-438-1026
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Fax | 201-438-1668
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Authorized Official
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Title or Position | OWNER/RPIC
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Name | YOLANDA GARCIA
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Credential |
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Telephone | 201-438-1026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 28RS00602800
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License Number State | NJ
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