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General NPI Number Information
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NPI Number | 1215003074
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Entity Type | Organization
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Legal Business Name | THE NEW MILLENNIUM PHARMACY, INC
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 158 SPEEDWELL AVE
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-2316
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Country | US
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Telephone | 973-539-5511
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Fax | 973-292-1202
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Provider Business Mailing Address
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Address Line | 158 SPEEDWELL AVE
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-2316
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Country | US
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Telephone | 973-539-5511
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Fax | 973-292-1202
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Authorized Official
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Title or Position | OWNER
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Name | TATYANA VOLPINA
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Credential |
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Telephone | 973-539-5511
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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 | 28RS00580500
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License Number State | NJ
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