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General NPI Number Information
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NPI Number | 1659904605
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Entity Type | Organization
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Legal Business Name | DNA RX 101 CORP
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Dates
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Enumeration Date | 02/18/2020
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 6505 MYRTLE AVE
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City | GLENDALE
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State | NY
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Zip | 11385-6248
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Country | US
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Telephone | 929-250-2226
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Fax | 929-250-2263
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Provider Business Mailing Address
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Address Line | 6505 MYRTLE AVE
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City | GLENDALE
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State | NY
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Zip | 11385-6248
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Country | US
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Telephone | 929-250-2226
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Fax | 929-250-2263
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | DIANA NERYAEV
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Credential | RPH
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Telephone | 929-250-2226
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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 State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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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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