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General NPI Number Information
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NPI Number | 1245418409
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Entity Type | Individual
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Provider Name | BETH PEROSI
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Gender | Female
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Dates
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Enumeration Date | 02/09/2008
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Last Update Date | 02/09/2008
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Provider Practice Location Address
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Address Line | 2101 HIGHWAY 35
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City | HOLMDEL
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State | NJ
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Zip | 07733-1085
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Country | US
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Telephone | 732-671-3362
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Fax | 732-671-5435
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Provider Business Mailing Address
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Address Line | 16 FOX MEADOW LN
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City | HOLMDEL
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State | NJ
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Zip | 07733-2707
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Country | US
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Telephone | 732-796-0033
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 25432
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 034065-1
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License Number State | NY
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