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General NPI Number Information
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NPI Number | 1124434345
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Entity Type | Organization
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Legal Business Name | KP PHARMACY & SURGICALS LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 07/08/2014
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Last Update Date | 06/21/2019
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Provider Practice Location Address
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Address Line | 250 RT 130 & 206 N, UNITC ANTHONY'S PIZZA TOWN
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City | BORDENTOWN
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State | NJ
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Zip | 08505-2112
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Country | US
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Telephone | 609-747-5758
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Fax | 609-298-2841
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Provider Business Mailing Address
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Address Line | 250 RT 130 & 206 N , UNITC ANTHONY'S PIZZA TOWN PLAZA
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City | BORDENTOWN
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State | NJ
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Zip | 08505
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Country | US
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Telephone | 609-747-5758
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Fax | 609-298-2841
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | VIPUL V BHAVSAR
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Credential |
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Telephone | 609-747-5758
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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 | 28RS00733900
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License Number State | NJ
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