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General NPI Number Information
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NPI Number | 1245836519
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Entity Type | Individual
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Provider Name | JOSEPH EDWARD LEONE RPH
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Gender | Male
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Dates
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Enumeration Date | 12/10/2020
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 1001 ROUTE 70
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City | MANCHESTER
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State | NJ
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Zip | 08759-5804
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Country | US
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Telephone | 732-657-0099
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Fax | 732-657-0033
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Provider Business Mailing Address
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Address Line | 611 WESTON DR
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City | TOMS RIVER
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State | NJ
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Zip | 08755-3249
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Country | US
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Telephone | 732-286-1448
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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 | 28RI01634900
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License Number State | NJ
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