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General NPI Number Information
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NPI Number | 1659356012
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Entity Type | Organization
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Legal Business Name | KVS PHARMACY INC.
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 10/23/2008
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Provider Practice Location Address
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Address Line | 112-10 SPRINGFIELD BLVD
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City | QUEENS VILLAGE
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State | NY
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Zip | 11429-2650
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Country | US
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Telephone | 718-464-7777
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Fax | 718-776-0388
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Provider Business Mailing Address
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Address Line | 11210 SPRINGFIELD BLVD
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City | QUEENS VILLAGE
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State | NY
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Zip | 11429-2650
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Country | US
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Telephone | 718-464-7777
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Fax | 718-776-0388
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. VASANT SHAH
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Credential |
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Telephone | 718-464-7777
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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 | 025109
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License Number State | NY
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