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General NPI Number Information
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NPI Number | 1558422238
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Entity Type | Organization
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Legal Business Name | RSVMDRUGS
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 4013 5TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11232
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Country | US
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Telephone | 718-436-8239
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Fax | 718-436-8240
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Provider Business Mailing Address
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Address Line | 4013-5 AVE
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City | BROOKLYN
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State | NY
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Zip | 11232
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Country | US
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Telephone | 718-436-8239
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Fax | 718-436-8240
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Authorized Official
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Title or Position | S.PHARMACIST
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Name | MR. CHINNASAMY SEETHARAMAN
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Credential | PHARMACIST
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Telephone | 718-436-8239
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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 | 017895
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License Number State | NY
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