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General NPI Number Information
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NPI Number | 1295846665
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Entity Type | Organization
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Legal Business Name | HSMG LLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 669 VAN HOUTEN AVE
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City | CLIFTON
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State | NJ
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Zip | 07013-2125
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Country | US
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Telephone | 973-779-1122
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Fax | 973-779-8996
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Provider Business Mailing Address
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Address Line | 669 VAN HOUTEN AVE
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City | CLIFTON
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State | NJ
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Zip | 07013-2125
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Country | US
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Telephone | 973-779-1122
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Fax | 973-779-8996
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Authorized Official
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Title or Position | MEMBER
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Name | MR. OMAR GHARIB
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Credential |
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Telephone | 201-899-6244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28RS00469100
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License Number State | NJ
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