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General NPI Number Information
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NPI Number | 1902616485
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Entity Type | Organization
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Legal Business Name | NEW HAVEN RX LLC
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 307 5TH STREET
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City | NEW HAVEN
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State | WV
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Zip | 25265-0000
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Country | US
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Telephone | 239-216-0695
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Fax | 832-218-1801
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Provider Business Mailing Address
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Address Line | P.O. BOX 186
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City | NEW HAVEN
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State | WV
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Zip | 25265-0000
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Country | US
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Telephone | 239-216-0695
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Fax | 832-218-1801
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Authorized Official
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Title or Position | OWNER
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Name | MRS. HELI PATEL
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Credential |
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Telephone | 239-216-0695
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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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