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General NPI Number Information
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NPI Number | 1114113834
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Entity Type | Individual
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Provider Name | LEONARD ANGELO LUIZZI JR. PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2007
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Last Update Date | 01/13/2017
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Provider Practice Location Address
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Address Line | 533 ATLANTIC CITY BLVD C/O QUICK CHEK PHARMACY
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City | BEACHWOOD
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State | NJ
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Zip | 08722-4005
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Country | US
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Telephone | 732-349-6116
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Fax | 732-286-0058
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Provider Business Mailing Address
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Address Line | 41 MEDFORD BLVD
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City | FREEHOLD
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State | NJ
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Zip | 07728-3338
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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 | 28RI02255700
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License Number State | NJ
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