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General NPI Number Information
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NPI Number | 1518095900
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Entity Type | Organization
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Legal Business Name | NEAB PHARMACY CORP
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 18901 LINDEN BLVD
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City | ST.ALBANS
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State | NY
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Zip | 11412
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Country | US
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Telephone | 718-341-0170
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Fax | 718-341-1333
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Provider Business Mailing Address
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Address Line | 189-01 LINDEN BLVD
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City | ST.ALBANS
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State | NY
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Zip | 11412
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Country | US
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Telephone | 718-341-0170
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Fax | 718-341-1333
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAHEEL M PERVEZ
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Credential |
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Telephone | 718-341-0170
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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 | 022460
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License Number State | NY
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