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General NPI Number Information
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NPI Number | 1871695395
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Entity Type | Organization
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Legal Business Name | EMUNA INC
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Dates
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Enumeration Date | 09/04/2006
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 3002 AVENUE M
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City | BROOKLYN
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State | NY
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Zip | 11210-4745
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Country | US
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Telephone | 718-677-5811
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Fax | 718-677-5812
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Provider Business Mailing Address
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Address Line | 3002 AVENUE M
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City | BROOKLYN
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State | NY
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Zip | 11210-4745
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Country | US
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Telephone | 718-677-5811
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Fax | 718-677-5812
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID BAMSHAD
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Credential | RPH
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Telephone | 718-677-5811
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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 | 024222
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License Number State | NY
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