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General NPI Number Information
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NPI Number | 1942305800
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Entity Type | Organization
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Legal Business Name | UPR CARE CORP
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 06/09/2010
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Provider Practice Location Address
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Address Line | 378 SYOSSET WOODBURY RD
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City | WOODBURY
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State | NY
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Zip | 11797-1200
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Country | US
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Telephone | 516-622-7784
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Fax | 516-921-3910
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Provider Business Mailing Address
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Address Line | 378 SYOSSET WOODBURY RD
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City | WOODBURY
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State | NY
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Zip | 11797-1200
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Country | US
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Telephone | 516-622-7784
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Fax | 516-921-3910
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Authorized Official
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Title or Position | CEO
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Name | JOE SIMMINARO
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Credential |
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Telephone | 516-622-7702
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 027164
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License Number State | NY
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