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General NPI Number Information
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NPI Number | 1861663015
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Entity Type | Organization
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Legal Business Name | MARIE CHEUNG
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 395 COURT ST
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City | BROOKLYN
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State | NY
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Zip | 11231-4103
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Country | US
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Telephone | 718-222-1193
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CVS DR
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City | WOONSOCKET
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State | RI
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Zip | 02895-6146
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MARIE CHEUNG
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Credential | RPH
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Telephone | 718-222-1193
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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 | 0515861
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License Number State | NY
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