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General NPI Number Information
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NPI Number | 1144826785
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Entity Type | Individual
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Provider Name | JOHN A SCLAFANI RPH
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Gender | Male
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 1907 ROUTE 27
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City | EDISON
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State | NJ
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Zip | 08817-3212
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Country | US
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Telephone | 732-985-1211
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Fax |
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Provider Business Mailing Address
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Address Line | 46 BLOOMFIELD RD
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City | MANALAPAN
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State | NJ
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Zip | 07726-7911
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Country | US
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Telephone | 917-533-6290
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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 | 28RI02504600
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License Number State | NJ
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