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General NPI Number Information
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NPI Number | 1003913922
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Entity Type | Organization
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Legal Business Name | CENTURY URBAN PHCY INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 121 CEDAR LN STE 101
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City | TEANECK
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State | NJ
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Zip | 07666-4457
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Country | US
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Telephone | 201-833-2345
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Fax | 201-833-2399
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Provider Business Mailing Address
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Address Line | 121 CEDAR LN STE 101
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City | TEANECK
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State | NJ
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Zip | 07666-4457
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | ROBERT CAPPA
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Credential |
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Telephone | 201-833-2345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 28RS00599200
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License Number State | NJ
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