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General NPI Number Information
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NPI Number | 1770172637
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Entity Type | Organization
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Legal Business Name | CF16 INC
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Dates
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Enumeration Date | 01/14/2021
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 13318 41ST RD
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City | FLUSHING
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State | NY
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Zip | 11355-5867
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Country | US
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Telephone | 718-799-0866
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Fax | 718-799-0877
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Provider Business Mailing Address
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Address Line | PO BOX 598
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City | MANHASSET
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State | NY
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Zip | 11030-0598
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Country | US
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Telephone | 347-903-7847
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Fax | 718-425-0813
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | ELISHA RO
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Credential | PHARMD.
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Telephone | 718-799-0866
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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 |
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License Number State |
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