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General NPI Number Information
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NPI Number | 1487728788
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Entity Type | Organization
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Legal Business Name | KAY RAY ENT INC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 656 WESTCHESTER AVE
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City | BRONX
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State | NY
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Zip | 10455
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Country | US
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Telephone | 718-585-7158
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Fax | 718-585-7158
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Provider Business Mailing Address
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Address Line | 656 WESTCHESTER AVE
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City | BRONX
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State | NY
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Zip | 10455
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Country | US
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Telephone | 718-585-7158
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Fax | 718-585-7158
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Authorized Official
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Title or Position | VICE PRES SUP PHARMACIST
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Name | DIEGO PALER
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Credential |
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Telephone | 718-585-7158
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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 | 015592
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License Number State | NY
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