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General NPI Number Information
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NPI Number | 1649673609
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Entity Type | Organization
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Legal Business Name | AAA PHARMACY AND MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 10/06/2014
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Last Update Date | 04/17/2015
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Provider Practice Location Address
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Address Line | 1926 KINGS HWY
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City | BROOKLYN
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State | NY
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Zip | 11229-1314
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Country | US
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Telephone | 718-339-9393
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Fax | 718-339-9396
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Provider Business Mailing Address
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Address Line | 1926 KINGS HWY
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City | BROOKLYN
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State | NY
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Zip | 11229-1314
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Country | US
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Telephone | 718-339-9393
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Fax | 718-339-9396
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ASHIR DANILOV
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Credential |
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Telephone | 718-339-9393
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 033083
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License Number State | NY
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