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General NPI Number Information
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NPI Number | 1326405622
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Entity Type | Organization
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Legal Business Name | HENRY J. AUSTIN HEALTH CENTER, INC.
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 321 N WARREN ST
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City | TRENTON
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State | NJ
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Zip | 08618-4741
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Country | US
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Telephone | 609-278-5931
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Fax |
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Provider Business Mailing Address
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Address Line | 321 N WARREN ST
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City | TRENTON
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State | NJ
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Zip | 08618-4741
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Country | US
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Telephone | 609-278-5931
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHARLES L DAVIS II
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Credential | AO
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Telephone | 609-278-5970
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 28RS00746300
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License Number State | NJ
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