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General NPI Number Information
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NPI Number | 1407999717
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Entity Type | Organization
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Legal Business Name | ELM APOTHECARY & SURGICAL SUPPLY CO INC
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/28/2008
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Provider Practice Location Address
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Address Line | 9001 31ST AVE
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City | EAST ELMHURST
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State | NY
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Zip | 11369-1725
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Country | US
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Telephone | 718-426-8066
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 291
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City | EAST ELMHURST
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State | NY
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Zip | 11369-0291
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Country | US
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Telephone | 718-426-8066
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Fax | 718-268-2883
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. IRVING FRANKEL
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Credential |
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Telephone | 718-426-8066
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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 | 008824
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License Number State | NY
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