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General NPI Number Information
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NPI Number | 1760310916
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Entity Type | Organization
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Legal Business Name | OPRX 11030 LLC
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Dates
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Enumeration Date | 05/09/2026
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Last Update Date | 05/09/2026
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Provider Practice Location Address
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Address Line | 465 PLANDOME RD
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City | MANHASSET
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State | NY
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Zip | 11030-1942
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Country | US
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Telephone | 516-627-8666
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Fax | 516-627-1768
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Provider Business Mailing Address
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Address Line | 465 PLANDOME RD
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City | MANHASSET
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State | NY
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Zip | 11030-1942
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Country | US
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Telephone | 516-627-8666
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Fax | 516-627-1768
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. BERNARD ALAN GOYKHBERG
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Credential |
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Telephone | 917-584-7654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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