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General NPI Number Information
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NPI Number | 1194759423
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Entity Type | Organization
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Legal Business Name | POSITUDES INC
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 06/11/2012
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Provider Practice Location Address
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Address Line | 44 BOND ST
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City | WESTBURY
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State | NY
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Zip | 11590-5002
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Country | US
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Telephone | 516-876-0100
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Fax | 516-876-0200
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Provider Business Mailing Address
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Address Line | 44 BOND ST
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City | WESTBURY
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State | NY
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Zip | 11590-5002
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Country | US
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Telephone | 516-876-0100
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Fax | 516-876-0200
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. VINCENT JAMES FUSARO
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Credential | RPH
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Telephone | 516-876-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 024989
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 024989
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License Number State | NY
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