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General NPI Number Information
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NPI Number | 1235283573
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Entity Type | Organization
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Legal Business Name | SOHUM RX LLC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 06/10/2022
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Provider Practice Location Address
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Address Line | 215 N HERMITAGE AVE
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City | TRENTON
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State | NJ
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Zip | 08618
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Country | US
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Telephone | 609-394-0600
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Fax | 609-394-5505
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Provider Business Mailing Address
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Address Line | 215 N HERMITAGE AVE
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City | TRENTON
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State | NJ
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Zip | 08618-5531
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Country | US
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Telephone | 609-394-0600
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Fax | 609-394-5505
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Authorized Official
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Title or Position | MEMBER, LLC
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Name | BHAUMIK THAKER
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Credential |
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Telephone | 609-394-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 28RS00662600
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License Number State | NJ
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