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General NPI Number Information
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NPI Number | 1366977993
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Entity Type | Organization
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Legal Business Name | ALTIMA CARE INC.
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Dates
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Enumeration Date | 04/20/2017
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Last Update Date | 04/20/2017
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Provider Practice Location Address
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Address Line | 95 MADISON AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550-4822
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Country | US
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Telephone | 516-280-4580
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Fax | 516-505-5297
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Provider Business Mailing Address
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Address Line | 95 MADISON AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550-4822
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Country | US
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Telephone | 516-280-4580
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Fax | 516-505-5297
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. FATIMA FIROZ VISRAM
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Credential |
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Telephone | 516-280-4580
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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 | 034812
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License Number State | NY
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