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General NPI Number Information
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NPI Number | 1821139031
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Entity Type | Organization
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Legal Business Name | CORONA FARMACIA INC
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 05/22/2020
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Provider Practice Location Address
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Address Line | 20116 HILLSIDE AVE
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City | HOLLIS
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State | NY
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Zip | 11423-2135
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Country | US
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Telephone | 718-500-4891
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Fax | 332-777-1028
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Provider Business Mailing Address
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Address Line | 20116 HILLSIDE AVE
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City | HOLLIS
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State | NY
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Zip | 11423-2135
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Country | US
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Telephone | 718-500-4891
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Fax | 332-777-1028
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAHNAZ BEGUM
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Credential |
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Telephone | 718-500-4891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 33003
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License Number State | NY
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