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General NPI Number Information
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NPI Number | 1962517748
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Entity Type | Organization
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Legal Business Name | SHOPRITE SUPERMARKETS INC.
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 05/06/2010
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Provider Practice Location Address
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Address Line | 278 TUCKAHOE RD
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City | YONKERS
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State | NY
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Zip | 10710
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Country | US
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Telephone | 914-793-8300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29010
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City | NEW YORK
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State | NY
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Zip | 10087-2901
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Country | US
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Telephone | 914-793-8300
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Fax |
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Authorized Official
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Title or Position | THIRD PARTY ADMINISTRATOR
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Name | MELISSA FIGUEROA-RIVERA
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Credential |
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Telephone | 732-521-8439
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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 | 025413
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License Number State | NY
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Taxonomy #2
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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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