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General NPI Number Information
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NPI Number | 1114219797
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Entity Type | Organization
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Legal Business Name | REUNION RX, LLC
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Dates
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Enumeration Date | 05/13/2011
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 21 W LINCOLN AVE
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City | ATLANTIC HIGHLANDS
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State | NJ
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Zip | 07716-1121
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Country | US
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Telephone | 732-291-5900
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Fax | 732-291-5901
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Provider Business Mailing Address
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Address Line | 21 W LINCOLN AVE
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City | ATLANTIC HIGHLANDS
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State | NJ
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Zip | 07716-1121
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Country | US
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Telephone | 732-219-5900
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Fax | 732-291-5901
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JENNIFER H. FACTOR
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Credential | RPH
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Telephone | 732-291-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 28RS00712000
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License Number State | NJ
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