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General NPI Number Information
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NPI Number | 1174744023
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Entity Type | Individual
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Provider Name | RANDA ABBO RPH
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11 COMMERCE WAY
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City | TOTOWA
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State | NJ
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Zip | 07512-1154
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Country | US
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Telephone | 973-812-9100
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Fax | 973-812-1058
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Provider Business Mailing Address
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Address Line | 94 POINT VIEW PKWY
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City | WAYNE
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State | NJ
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Zip | 07470-2064
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Country | US
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Telephone | 973-706-8518
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Fax | 973-812-1058
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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 | 28RI03045900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 047322
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License Number State | NY
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