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General NPI Number Information
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NPI Number | 1235681032
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Entity Type | Organization
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Legal Business Name | JCPR CORP
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 3625 WRANGLE HILL RD
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City | BEAR
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State | DE
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Zip | 19701-1906
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Country | US
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Telephone | 302-838-8700
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Fax | 302-838-8704
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Provider Business Mailing Address
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Address Line | 3625 WRANGLE HILL RD
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City | BEAR
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State | DE
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Zip | 19701-1906
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Country | US
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Telephone | 302-838-8700
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Fax | 302-838-8704
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Authorized Official
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Title or Position | PARTNER
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Name | PRADEEP CHILAKAPATI
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Credential |
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Telephone | 302-838-8700
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | A3-0001006
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License Number State | DE
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