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General NPI Number Information
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NPI Number | 1952283111
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Entity Type | Organization
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Legal Business Name | K&H PORT CORP
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 770 PORT RICHMOND AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10302-1737
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Country | US
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Telephone | 347-466-4801
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Fax | 347-466-4803
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Provider Business Mailing Address
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Address Line | 116 WOODBINE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-1834
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Country | US
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Telephone | 347-466-4801
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Fax | 347-466-4803
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Authorized Official
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Title or Position | PRESIDENT
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Name | AHMAD HAMSHO
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Credential |
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Telephone | 347-466-4801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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