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General NPI Number Information
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NPI Number | 1225102601
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Entity Type | Organization
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Legal Business Name | BURLING DRUG CO OF CORFU INC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 03/25/2013
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Provider Practice Location Address
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Address Line | 22 E MAIN ST
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City | CORFU
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State | NY
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Zip | 14036-9601
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Country | US
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Telephone | 585-599-4563
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Fax | 585-599-3394
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Provider Business Mailing Address
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Address Line | PO BOX 100
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City | CORFU
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State | NY
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Zip | 14036-0100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL BURLING
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Credential | RPH
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Telephone | 585-599-4563
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 021199
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License Number State | NY
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