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General NPI Number Information
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NPI Number | 1801753876
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Entity Type | Organization
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Legal Business Name | OPRX #11776, LLC
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 4747 NESCONSET HWY UNIT 10
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City | PORT JEFFERSON STATION
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State | NY
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Zip | 11776-2866
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Country | US
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Telephone | 631-474-7828
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Fax |
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Provider Business Mailing Address
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Address Line | 2539 PARSONS BLVD
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City | FLUSHING
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State | NY
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Zip | 11354-1247
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Country | US
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Telephone | 516-876-0737
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SARIT ROY
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Credential |
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Telephone | 516-876-0737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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