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NPI 1437292596

NPI 1437292596 : AVEL PHARMACY INC : NEW ROCHELLE, NY

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General NPI Number Information
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    NPI Number           |    1437292596
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    Entity Type          |    Organization 
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    Legal Business Name  |    AVEL PHARMACY INC 
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Dates
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    Enumeration Date     |    02/15/2007
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    Last Update Date     |    08/17/2011
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Provider Practice Location Address
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    Address Line         |    550 NORTH AVE 
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    City                 |    NEW ROCHELLE
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    State                |    NY
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    Zip                  |    10801-2612
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    Country              |    US
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    Telephone            |    914-235-4422
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    Fax                  |    914-235-3489
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Provider Business Mailing Address
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    Address Line         |    550 NORTH AVE 
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    City                 |    NEW ROCHELLE
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    State                |    NY
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    Zip                  |    10801-2612
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    Country              |    US
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    Telephone            |    914-235-4422
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    Fax                  |    914-235-3489
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     SHUJAAT  MIR 
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    Credential           |    
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    Telephone            |    914-235-4422
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    024648
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    License Number State |    NY
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