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General NPI Number Information
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NPI Number | 1295003499
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Entity Type | Organization
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Legal Business Name | JSNR PHARMACY LLC
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Dates
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Enumeration Date | 12/02/2011
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Last Update Date | 12/02/2011
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Provider Practice Location Address
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Address Line | 984 N BROADWAY
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City | YONKERS
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State | NY
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Zip | 10701-1318
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Country | US
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Telephone | 914-751-5432
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Fax |
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Provider Business Mailing Address
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Address Line | 252 VIVIEN CT
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City | PARAMUS
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State | NJ
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Zip | 07652-4615
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Country | US
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Telephone | 212-928-6342
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Fax | 212-928-6591
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. BHAVNA PATEL
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Credential |
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Telephone | 212-928-6342
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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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