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General NPI Number Information
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NPI Number | 1013306745
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Entity Type | Organization
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Legal Business Name | COMMUNITY CARE RX
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Dates
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Enumeration Date | 01/19/2015
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Last Update Date | 01/19/2015
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Provider Practice Location Address
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Address Line | 225 US HIGHWAY 46 4
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City | TOTOWA
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State | NJ
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Zip | 07512-1839
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Country | US
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Telephone | 973-837-8044
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Fax |
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Provider Business Mailing Address
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Address Line | 1480 US HIGHWAY 46
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City | PARSIPPANY
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State | NJ
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Zip | 07054-5910
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Country | US
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Telephone | 908-444-1221
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Fax |
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | MISS RUCHI RAWAL
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Credential |
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Telephone | 908-444-1221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 28RI03687700
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License Number State | NJ
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