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General NPI Number Information
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NPI Number | 1245166123
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Entity Type | Organization
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Legal Business Name | JESSY PATEL 2 LLC
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Dates
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Enumeration Date | 06/19/2026
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Last Update Date | 06/19/2026
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Provider Practice Location Address
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Address Line | 495 ROUTE 9 ATLANTIC CITY BLVD
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City | BAYVILLE
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State | NJ
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Zip | 08721
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Country | US
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Telephone | 732-797-9955
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Fax | 732-797-9956
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Provider Business Mailing Address
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Address Line | 495 ROUTE 9 ATLANTIC CITY BLVD
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City | BAYVILLE
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State | NJ
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Zip | 08721
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Country | US
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Telephone | 732-797-9955
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Fax | 732-797-9956
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Authorized Official
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Title or Position | PRESIDENT
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Name | MUHAMMAD KHAN
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Credential |
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Telephone | 856-779-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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