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General NPI Number Information
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NPI Number | 1912040924
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Entity Type | Organization
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Legal Business Name | ARDSLEY PHARMACY SURGICAL AND NUTRITION, INC.
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 708 SAW MILL RIVER RD
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City | ARDSLEY
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State | NY
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Zip | 10502-1817
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Country | US
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Telephone | 914-693-2003
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Fax |
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Provider Business Mailing Address
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Address Line | 718 SAW MILL RIVER ROAD
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City | ARDSLEY
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State | NY
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Zip | 10502
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Country | US
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Telephone | 914-693-2003
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | NADEEM KAUSAR
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Credential |
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Telephone | 914-693-2003
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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 | 049743-1
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License Number State | NY
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