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General NPI Number Information
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NPI Number | 1316355456
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Entity Type | Organization
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Legal Business Name | DOSES RX, LLC
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Dates
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Enumeration Date | 07/31/2014
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Last Update Date | 06/26/2015
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Provider Practice Location Address
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Address Line | 353 CENTRAL AVE
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City | LAWRENCE
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State | NY
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Zip | 11559-1667
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Country | US
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Telephone | 516-400-9100
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Fax | 516-400-9090
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Provider Business Mailing Address
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Address Line | 353 CENTRAL AVE
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City | LAWRENCE
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State | NY
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Zip | 11559-1667
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Country | US
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Telephone | 516-495-9311
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Fax | 516-400-9090
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | MR. MAYER MALTZ
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Credential | R.PH.
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Telephone | 516-400-9100
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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 | 032950
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License Number State | NY
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