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General NPI Number Information
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NPI Number | 1174252886
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Entity Type | Organization
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Legal Business Name | COMMUNITY CARE RX NJ INC
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 06/08/2022
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Provider Practice Location Address
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Address Line | 225 ROUTE 46 STE 2
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City | TOTOWA
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State | NJ
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Zip | 07512-1814
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Country | US
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Telephone | 973-837-8044
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Fax |
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Provider Business Mailing Address
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Address Line | 225 ROUTE 46 STE 2
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City | TOTOWA
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State | NJ
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Zip | 07512-1814
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Country | US
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Telephone | 973-837-8044
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HOSSAM ABDEL MAKSOUD
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Credential | PHARMD
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Telephone | 516-418-8058
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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 |
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License Number State |
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