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General NPI Number Information
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NPI Number | 1689944399
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Entity Type | Organization
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Legal Business Name | ENRICHED INC
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 6305 8TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11220-4717
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Country | US
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Telephone | 718-836-6337
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Fax | 718-836-6333
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Provider Business Mailing Address
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Address Line | 232 SENATOR ST
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City | BROOKLYN
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State | NY
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Zip | 11220-5207
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Country | US
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Telephone | 347-446-6714
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EUNICE LI
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Credential |
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Telephone | 718-836-6337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 031089
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License Number State | NY
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