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General NPI Number Information
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NPI Number | 1104826981
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Entity Type | Organization
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Legal Business Name | SHUMET INC
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 03/22/2017
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Provider Practice Location Address
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Address Line | 199 MAIN ST
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City | KEANSBURG
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State | NJ
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Zip | 07734-1768
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Country | US
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Telephone | 732-787-1414
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Fax | 732-495-5590
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Provider Business Mailing Address
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Address Line | 199 MAIN ST PO BOX 130
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City | KEANSBURG
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State | NJ
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Zip | 07734-1768
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Country | US
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Telephone | 732-787-1414
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Fax | 732-495-5590
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOWARD SHULMAN
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Credential | RPH
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Telephone | 732-787-1414
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28RS00364200
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License Number State | NJ
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