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NPI 1255837480

NPI 1255837480 : ZASI CORP : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1255837480
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    Entity Type          |    Organization 
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    Legal Business Name  |    ZASI CORP 
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Dates
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    Enumeration Date     |    04/05/2018
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    Last Update Date     |    12/18/2018
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Provider Practice Location Address
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    Address Line         |    567 W 207TH ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10034-2607
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    Country              |    US
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    Telephone            |    212-544-0020
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    Fax                  |    212-544-0122
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Provider Business Mailing Address
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    Address Line         |    567 W 207TH ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10034-2607
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    Country              |    US
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    Telephone            |    212-544-0020
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    Fax                  |    212-544-0122
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     IMTIAZ  AHMED 
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    Credential           |    
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    Telephone            |    212-544-0020
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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       |    
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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       |    035382
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    License Number State |    NY
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