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General NPI Number Information
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NPI Number | 1801252382
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Entity Type | Organization
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Legal Business Name | CITIHEALTH RX INC
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Dates
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Enumeration Date | 01/13/2016
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Last Update Date | 02/19/2016
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Provider Practice Location Address
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Address Line | 23 COURT ST
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City | NEWARK
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State | NJ
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Zip | 07102-2693
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Country | US
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Telephone | 862-772-0442
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Fax | 973-732-5504
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Provider Business Mailing Address
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Address Line | 23 COURT STREET
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City | NEWARK
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State | NJ
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Zip | 07102
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Country | US
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Telephone | 862-772-0442
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MEYER DAVYDOV
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Credential |
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Telephone | 347-437-9341
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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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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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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 | 28RS00746400
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License Number State | NJ
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