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General NPI Number Information
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NPI Number | 1124348305
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Entity Type | Organization
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Legal Business Name | SMASH MEDICINE LLC
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 06/10/2010
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Provider Practice Location Address
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Address Line | 836 MARTIN LUTHER KING JR BLVD
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City | TRENTON
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State | NJ
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Zip | 08638-4002
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Country | US
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Telephone | 609-234-0567
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Fax |
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Provider Business Mailing Address
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Address Line | 17 OAKSHADE RD
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City | BURLINGTON
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State | NJ
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Zip | 08016-5162
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Country | US
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Telephone | 609-234-0567
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARFARAZ AHMED
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Credential | RPH
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Telephone | 609-234-0567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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