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General NPI Number Information
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NPI Number | 1588652796
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Entity Type | Organization
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Legal Business Name | EVE AND R PHARMACY INC.
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 02/26/2009
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Provider Practice Location Address
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Address Line | 170 AVENUE U
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City | BROOKLYN
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State | NY
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Zip | 11223-3740
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Country | US
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Telephone | 718-946-0101
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Fax | 718-946-7588
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Provider Business Mailing Address
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Address Line | 170 AVENUE U
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City | BROOKLYN
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State | NY
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Zip | 11223-3740
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Country | US
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Telephone | 718-946-0101
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Fax | 718-946-7588
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Authorized Official
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Title or Position | V.PRES
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Name | MR. DAVYD ESTRIN
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Credential |
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Telephone | 718-946-0101
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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 | 024452
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License Number State | NY
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