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General NPI Number Information
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NPI Number | 1326631243
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Entity Type | Organization
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Legal Business Name | MY DIGITAL MEDICAL LLC
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Dates
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Enumeration Date | 02/12/2021
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 180 SUNRISE HWY
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4704
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Country | US
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Telephone | 516-442-5783
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Fax |
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Provider Business Mailing Address
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Address Line | 180 SUNRISE HWY
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4704
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | SAMI HOSSAIN
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Credential | PHARMD
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Telephone | 513-633-4890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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