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General NPI Number Information
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NPI Number | 1770856395
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Entity Type | Organization
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Legal Business Name | SEVENTH ELM DRUG CORP.
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 56 7TH AVE
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City | NEW YORK
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State | NY
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Zip | 10011-6672
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Country | US
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Telephone | 212-256-6100
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Fax | 212-256-2112
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Provider Business Mailing Address
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Address Line | 56 7TH AVE
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City | NEW YORK
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State | NY
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Zip | 10011-6672
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Country | US
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Telephone | 212-256-6100
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Fax | 212-256-2112
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELENA BARANOV
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Credential |
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Telephone | 212-255-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 030275
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License Number State | NY
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Taxonomy #2
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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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