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General NPI Number Information
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NPI Number | 1306940366
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Entity Type | Organization
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Legal Business Name | KINGS BAY CHEMISTS INC
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 11/22/2016
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Provider Practice Location Address
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Address Line | 3610 NOSTRAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11229-5203
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Country | US
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Telephone | 718-891-3447
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Fax | 718-891-9378
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Provider Business Mailing Address
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Address Line | 3610 NOSTRAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11229-5203
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Country | US
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Telephone | 718-891-3447
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Fax | 718-891-9378
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Authorized Official
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Title or Position | PRES
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Name | LARRY BIRNBAUM
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Credential |
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Telephone | 718-891-9300
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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 | 017076
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License Number State | NY
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