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General NPI Number Information
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NPI Number | 1194917138
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Entity Type | Organization
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Legal Business Name | SENIDA LLC
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 50 FULTON AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3686
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Country | US
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Telephone | 516-539-2144
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Fax |
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Provider Business Mailing Address
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Address Line | 50 FULTON AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3686
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Country | US
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Telephone | 516-539-2144
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Fax |
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MRS. CLARA M RESTREPO
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Credential | R.PH.
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Telephone | 917-340-7726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 028273
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License Number State | NY
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