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General NPI Number Information
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NPI Number | 1194716548
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Entity Type | Organization
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Legal Business Name | MAPLEWOOD CHEMISTS, INC
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 04/27/2010
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Provider Practice Location Address
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Address Line | 747 IRVINGTON AVE
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-1607
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Country | US
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Telephone | 973-762-2700
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Fax | 973-762-6002
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Provider Business Mailing Address
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Address Line | 747 IRVINGTON AVE
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-1607
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Country | US
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Telephone | 973-762-2700
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Fax | 973-762-6002
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Authorized Official
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Title or Position | PHARMACIST/V.P
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Name | MR. SASHI D DONDAPATI
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Credential |
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Telephone | 973-762-2700
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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 | 28RS00688100
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License Number State | NJ
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