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General NPI Number Information
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NPI Number | 1316329014
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Entity Type | Organization
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Legal Business Name | CHRG GROUP LLC
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 7310 STATE ROAD 52
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City | HUDSON
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State | FL
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Zip | 34667-6711
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Country | US
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Telephone | 718-213-5173
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Fax | 727-784-6210
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Provider Business Mailing Address
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Address Line | 7310 STATE ROAD 52
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City | HUDSON
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State | FL
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Zip | 34667-6711
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Country | US
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Telephone | 718-213-5173
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Fax | 727-784-6210
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Authorized Official
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Title or Position | OWNER / PHARMACIST
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Name | EZZAT ATALLA
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Credential | PHARMACIST
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Telephone | 718-213-5173
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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 | PH29176
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License Number State | FL
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