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General NPI Number Information
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NPI Number | 1265501407
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Entity Type | Organization
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Legal Business Name | JJ PHARMACY INC
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 4043 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10032
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Country | US
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Telephone | 212-795-1240
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Fax | 212-795-9167
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Provider Business Mailing Address
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Address Line | 4043 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10032
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Country | US
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Telephone | 212-795-1240
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Fax | 212-795-9167
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KUJIN CHOI
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Credential |
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Telephone | 212-795-1240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1176275
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 018844
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License Number State | NY
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