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General NPI Number Information
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NPI Number | 1497859458
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Entity Type | Organization
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Legal Business Name | ROSSI PHARMACY
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 12/12/2011
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Provider Practice Location Address
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Address Line | 84 01 101 AVE
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City | OZONE PARK
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State | NY
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Zip | 11416
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Country | US
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Telephone | 718-845-6840
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Fax | 718-845-9247
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Provider Business Mailing Address
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Address Line | 905 MARGINAL RD
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City | LIDO BEACH
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State | NY
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Zip | 11561-5229
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Country | US
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Telephone | 516-889-5182
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Fax | 718-845-9247
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Authorized Official
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Title or Position | OWNER
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Name | JOHN ROSSI
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Credential |
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Telephone | 718-845-6840
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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 | 016330
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License Number State | NY
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