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General NPI Number Information
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NPI Number | 1376908491
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Entity Type | Individual
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Provider Name | JASON JAMES PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 12/16/2015
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Last Update Date | 12/16/2015
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Provider Practice Location Address
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Address Line | 130 W KINGSBRIDGE RD JAMES J. PETERS VA MEDICAL CENTER
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City | BRONX
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State | NY
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Zip | 10468-3904
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Country | US
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Telephone | 718-594-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 798 KEARNEY PL
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City | PARAMUS
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State | NJ
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Zip | 07652-3813
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Country | US
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Telephone | 201-290-1379
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Fax |
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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 | 28RI03728000
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License Number State | NJ
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