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General NPI Number Information
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NPI Number | 1992879332
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Entity Type | Organization
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Legal Business Name | DREAM PHARMACY AND SURGICAL SUPPLIES INC
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Dates
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Enumeration Date | 11/18/2006
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 11204 101ST AVE
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-1124
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Country | US
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Telephone | 718-441-3800
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Fax | 718-441-1086
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Provider Business Mailing Address
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Address Line | 61 EVANS ST
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-2062
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Country | US
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Telephone | 516-354-0131
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Fax | 516-354-0131
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ZAHRA NAJUM HUSSAINI
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Credential |
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Telephone | 516-354-0131
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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 | 025593
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License Number State | NY
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