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General NPI Number Information
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NPI Number | 1366587461
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Entity Type | Organization
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Legal Business Name | SAKER SHOPRITES INC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | ROUTE 70 AND CHAMBERS BRIDGE ROAD
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City | BRICKTOWN
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State | NJ
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Zip | 08723
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Country | US
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Telephone | 732-477-6733
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Fax | 732-477-8221
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Provider Business Mailing Address
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Address Line | ROUTE 70 AND CHAMBERS BRIDGE ROAD
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City | BRICKTOWN
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State | NJ
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Zip | 08723
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Country | US
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Telephone | 732-477-6733
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Fax | 732-477-8221
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Authorized Official
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Title or Position | THIRD PARTY ADMINISTRATOR
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Name | MELISSA FIGUEROA RIVERA
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Credential |
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Telephone | 731-521-8439
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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 | RS003323
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License Number State | NJ
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