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General NPI Number Information
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NPI Number | 1306168117
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Entity Type | Individual
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Provider Name | MARCI LYNN MASTEJ R.PH.
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Gender | Female
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Dates
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Enumeration Date | 02/20/2010
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Last Update Date | 04/24/2019
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Provider Practice Location Address
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Address Line | 54 WASHINGTON ST INTEGRITYRX
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City | TOMS RIVER
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State | NJ
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Zip | 08753-5563
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Country | US
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Telephone | 732-473-2891
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Fax | 732-473-2892
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Provider Business Mailing Address
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Address Line | 54 WASHINGTON ST
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City | TOMS RIVER
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State | NJ
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Zip | 08753-7643
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Country | US
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Telephone | 732-473-2891
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Fax | 732-473-2892
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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 | 28RI02422500
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License Number State | NJ
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