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General NPI Number Information
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NPI Number | 1376864041
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Entity Type | Individual
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Provider Name | ASHRAF SUKAR PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 2048 VICTORY BLVD
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City | STATEN ISLAND
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State | NY
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Zip | 10314-3556
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Country | US
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Telephone | 917-830-0413
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Fax | 917-830-0417
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Provider Business Mailing Address
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Address Line | 25 ROANOKE ST
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City | STATEN ISLAND
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State | NY
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Zip | 10314-5031
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Country | US
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Telephone | 718-909-2245
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 054391
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License Number State | NY
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