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General NPI Number Information
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NPI Number | 1255623856
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Entity Type | Individual
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Provider Name | STEPHEN F PLATT PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 05/14/2011
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Last Update Date | 05/14/2011
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Provider Practice Location Address
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Address Line | 1061 WHITE HORSE MERCERVILLE RD
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City | TRENTON
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State | NJ
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Zip | 08610-1400
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Country | US
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Telephone | 609-581-2583
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Fax | 609-585-9700
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Provider Business Mailing Address
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Address Line | 103 WINDSOR CT
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City | LUMBERTON
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State | NJ
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Zip | 08048-4631
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Country | US
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Telephone | 609-532-0585
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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 | 28RI03364200
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License Number State | NJ
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