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General NPI Number Information
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NPI Number | 1629004353
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Entity Type | Organization
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Legal Business Name | LEMED PHARMACY III LLC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 12/01/2020
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Provider Practice Location Address
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Address Line | 2417 3RD AVE STE 406
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City | BRONX
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State | NY
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Zip | 10451-6340
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Country | US
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Telephone | 347-913-4656
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Fax | 718-231-2727
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Provider Business Mailing Address
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Address Line | 2417 3RD AVE STE 406
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City | BRONX
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State | NY
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Zip | 10451-6340
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Country | US
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Telephone | 347-913-4656
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Fax | 718-231-2727
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Authorized Official
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Title or Position | CEO
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Name | SHALEEN PATEL
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Credential |
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Telephone | 347-913-4656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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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 | 28RO00160000
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License Number State | NJ
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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 | NP000957
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PCN.0003317
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License Number State | CT
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 026863
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License Number State | NY
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