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General NPI Number Information
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NPI Number | 1740344795
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Entity Type | Organization
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Legal Business Name | ABC RX INC
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 1220 AVENUE P
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City | BROOKLYN
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State | NY
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Zip | 11229-1009
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Country | US
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Telephone | 718-336-2244
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Fax | 718-513-6991
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Provider Business Mailing Address
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Address Line | 1220 AVENUE P
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City | BROOKLYN
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State | NY
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Zip | 11229-1009
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Country | US
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Telephone | 718-336-2244
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Fax | 718-234-6991
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Authorized Official
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Title or Position | SP
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Name | JEREMY LEBOVITCH
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Credential |
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Telephone | 718-336-2244
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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 | 028112
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License Number State | NY
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