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General NPI Number Information
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NPI Number | 1295048437
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Entity Type | Individual
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Provider Name | KAKUBHAI R VORA PH.D., R.PH.
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Gender | Male
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Dates
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Enumeration Date | 07/16/2010
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Last Update Date | 07/16/2010
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Provider Practice Location Address
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Address Line | 203 MOUNTAIN AVE
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City | HACKETTSTOWN
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State | NJ
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Zip | 07840
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Country | US
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Telephone | 908-852-2223
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Fax |
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Provider Business Mailing Address
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Address Line | 924 PENNSYLVANIA AVENUE
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City | WESTFIELD
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State | NJ
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Zip | 07090-3433
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Country | US
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Telephone | 908-654-9577
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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 | 28RI01400100
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License Number State | NJ
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