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General NPI Number Information
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NPI Number | 1760893309
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Entity Type | Organization
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Legal Business Name | SOUTH FRANKLIN ENTERPRISES INC
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Dates
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Enumeration Date | 05/16/2014
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Last Update Date | 11/12/2014
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Provider Practice Location Address
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Address Line | 224 S FRANKLIN ST
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City | HEMPSTEAD
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State | NY
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Zip | 11550-6115
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Country | US
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Telephone | 516-292-2155
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Fax | 516-292-2188
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Provider Business Mailing Address
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Address Line | 224 S FRANKLIN ST
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City | HEMPSTEAD
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State | NY
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Zip | 11550-6115
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Country | US
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Telephone | 516-292-2155
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Fax | 516-292-2188
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MEDIAN R HAMMUD
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Credential |
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Telephone | 917-548-0663
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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 | 032601
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License Number State | NY
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