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General NPI Number Information
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NPI Number | 1356478812
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Entity Type | Organization
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Legal Business Name | SWAMI NARAYAN PHARMACY INC
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 3457 BOSTON RD
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City | BRONX
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State | NY
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Zip | 10469-2508
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Country | US
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Telephone | 718-881-2260
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Fax | 718-652-8599
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Provider Business Mailing Address
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Address Line | 3457 BOSTON RD
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City | BRONX
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State | NY
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Zip | 10469-2508
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Country | US
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Telephone | 718-881-2260
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Fax | 718-652-8599
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Authorized Official
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Title or Position | MANAGER
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Name | MR. PETER M PERVAZ
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Credential |
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Telephone | 718-881-2260
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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 | 023460
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License Number State | NY
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