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General NPI Number Information
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NPI Number | 1578088647
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Entity Type | Organization
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Legal Business Name | CHELSEA CARE RX CORP
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Dates
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Enumeration Date | 08/09/2017
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Last Update Date | 04/19/2018
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Provider Practice Location Address
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Address Line | 327 8TH AVE
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City | NEW YORK
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State | NY
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Zip | 10001-4807
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Country | US
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Telephone | 212-255-5522
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Fax | 212-255-4686
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Provider Business Mailing Address
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Address Line | 327 8TH AVE
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City | NEW YORK
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State | NY
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Zip | 10001-4807
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Country | US
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Telephone | 212-255-5522
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Fax | 212-255-4686
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Authorized Official
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Title or Position | PRESIDENT
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Name | JACOB YOUNATANOV
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Credential |
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Telephone | 212-255-5522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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 #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 035782
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License Number State | NY
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