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General NPI Number Information
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NPI Number | 1720502388
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Entity Type | Organization
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Legal Business Name | BALDWIN RX INC
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Dates
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Enumeration Date | 07/26/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 948 ATLANTIC AVE
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City | BALDWIN
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State | NY
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Zip | 11510-4241
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Country | US
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Telephone | 516-223-2935
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Fax | 516-223-2937
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Provider Business Mailing Address
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Address Line | 948 ATLANTIC AVE
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City | BALDWIN
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State | NY
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Zip | 11510-4241
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Country | US
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Telephone | 516-223-2935
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Fax | 516-223-2937
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Authorized Official
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Title or Position | PRESIDENT
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Name | TAHA ALI
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Credential |
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Telephone | 516-236-2986
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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 | 035611
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License Number State | NY
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