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General NPI Number Information
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NPI Number | 1336744283
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Entity Type | Individual
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Provider Name | ALBERT KANG PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 120 UNION BLVD
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City | TOTOWA
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State | NJ
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Zip | 07512-2723
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Country | US
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Telephone | 973-956-9101
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Fax | 973-720-1913
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Provider Business Mailing Address
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Address Line | 120 UNION BLVD
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City | TOTOWA
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State | NJ
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Zip | 07512-2723
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Country | US
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Telephone | 973-956-9101
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Fax | 973-720-1913
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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 | 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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03312300
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License Number State | NJ
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