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General NPI Number Information
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NPI Number | 1508776220
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Entity Type | Organization
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Legal Business Name | LEVERAGE RX INC
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 11345 FARMERS BLVD
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City | SAINT ALBANS
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State | NY
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Zip | 11412-2425
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Country | US
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Telephone | 917-780-9919
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Fax | 347-426-4584
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Provider Business Mailing Address
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Address Line | 11345 FARMERS BLVD
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City | SAINT ALBANS
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State | NY
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Zip | 11412-2425
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Country | US
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Telephone | 917-780-9919
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Fax | 347-426-4584
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Authorized Official
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Title or Position | PRESIDENT
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Name | IRINA YUSUPOV
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Credential |
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Telephone | 917-780-9919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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