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General NPI Number Information
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NPI Number | 1780822445
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Entity Type | Organization
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Legal Business Name | NUCARE PHARMACY INC.
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 1789 1ST AVE.
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City | NEW YORK
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State | NY
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Zip | 10128
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Country | US
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Telephone | 718-997-8200
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Fax | 718-997-8080
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Provider Business Mailing Address
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Address Line | 1789 1ST AVE.
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City | NEW YORK
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State | NY
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Zip | 10128
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Country | US
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Telephone | 718-997-8200
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Fax | 718-997-8080
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RUSSELL SHVARTSSHTEYN
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Credential |
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Telephone | 718-207-6310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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