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General NPI Number Information
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NPI Number | 1861900383
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Entity Type | Organization
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Legal Business Name | OPTI HEALTH, CORP.
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Dates
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Enumeration Date | 01/18/2018
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Last Update Date | 01/18/2018
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Provider Practice Location Address
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Address Line | 9614 63RD DR STE 100
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City | REGO PARK
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State | NY
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Zip | 11374-2255
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Country | US
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Telephone | 718-777-8111
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Fax | 718-228-3591
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Provider Business Mailing Address
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Address Line | 9614 63RD DR STE 100
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City | REGO PARK
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State | NY
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Zip | 11374-2255
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Country | US
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Telephone | 718-777-8111
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Fax | 718-228-3591
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Authorized Official
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Title or Position | PRESIDENT
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Name | GRIGORIY YUABOV
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Credential | PHARM.D.
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Telephone | 718-777-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | 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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 035989
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 035989
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 035989
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License Number State | NY
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