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General NPI Number Information
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NPI Number | 1033257167
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Entity Type | Organization
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Legal Business Name | RONETCO SUPERMARKETS, INC
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 80 US HIGHWAY 206 # 90
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City | STANHOPE
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State | NJ
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Zip | 07874-3129
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Country | US
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Telephone | 973-448-1232
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Fax | 973-448-2488
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Provider Business Mailing Address
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Address Line | 1070 US HIGHWAY 46 STE 17
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City | LEDGEWOOD
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State | NJ
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Zip | 07852-9701
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Country | US
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Telephone | 973-927-8300
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Fax | 973-927-4953
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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 | 732-521-8448
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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 | RS005612
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License Number State | NJ
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