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General NPI Number Information
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NPI Number | 1265274708
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Entity Type | Organization
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Legal Business Name | HEMPSTEAD AVENUE DRUGS INC
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 490 HEMPSTEAD AVE
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2700
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Country | US
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Telephone | 516-615-6567
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Fax | 516-464-0624
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Provider Business Mailing Address
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Address Line | 490 HEMPSTEAD AVE
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2700
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Country | US
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Telephone | 516-615-6567
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Fax | 516-464-0624
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDIK DZHANOV
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Credential |
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Telephone | 516-615-6567
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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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