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General NPI Number Information
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NPI Number | 1285887455
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Entity Type | Organization
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Legal Business Name | ACUTECARE HEALTH SYSTEM- PHARMACY DEPT.
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Dates
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Enumeration Date | 10/31/2008
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Last Update Date | 10/31/2008
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Provider Practice Location Address
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Address Line | 600 RIVER AVE SUITE G0120
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5237
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Country | US
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Telephone | 732-886-4956
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Fax | 732-886-4932
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Provider Business Mailing Address
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Address Line | 681 RIVER AVE SUITE 2B
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5229
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Country | US
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Telephone | 732-364-0800
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Fax | 732-364-0846
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Authorized Official
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Title or Position | CEO
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Name | MR. DANIEL CZERMAK
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Credential |
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Telephone | 732-364-0800
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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 | 28RS00684400
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License Number State | NJ
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