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General NPI Number Information
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NPI Number | 1033076823
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Entity Type | Individual
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Provider Name | JASON THOMAS RPH
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Gender | Male
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 242 W 30TH ST RM 1101
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City | NEW YORK
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State | NY
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Zip | 10001-0180
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Country | US
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Telephone | 332-286-5565
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Fax |
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Provider Business Mailing Address
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Address Line | 1211 MARTINE AVE
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City | PLAINFIELD
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State | NJ
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Zip | 07060-2622
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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 |
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Name |
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Credential |
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Telephone |
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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 | 073560
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License Number State | NY
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