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General NPI Number Information
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NPI Number | 1780970269
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Entity Type | Organization
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Legal Business Name | DUANE READE
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 06/23/2011
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Provider Practice Location Address
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Address Line | 405 LEXINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10174-0002
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Country | US
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Telephone | 212-808-4743
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Fax | 212-808-4963
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Provider Business Mailing Address
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Address Line | PO BOX 2253
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City | NEW YORK
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State | NY
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Zip | 10116-2253
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Country | US
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Telephone | 212-356-5227
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Fax | 212-244-6499
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Authorized Official
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Title or Position | ENROLLMENT COORDINATOR
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Name | JENNIFER BENEDETTO
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Credential |
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Telephone | 212-356-5227
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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 | 28RI03337200
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License Number State | NJ
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