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General NPI Number Information
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NPI Number | 1043766850
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Entity Type | Individual
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Provider Name | JAMES SERPICO RPH, MBA
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Gender | Male
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 67 WHIPPANY AVENUE
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City | WHIPPANY
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State | NJ
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Zip | 07981-0915
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Country | US
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Telephone | 862-404-3833
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Fax |
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Provider Business Mailing Address
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Address Line | 67 WHIPPANY AVENUE
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City | WHIPPANY
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State | NJ
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Zip | 07981-0915
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Country | US
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Telephone | 862-404-3833
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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 | 28RI01771900
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License Number State | NJ
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