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General NPI Number Information
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NPI Number | 1407123227
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Entity Type | Individual
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Provider Name | NIRA AMIN RPH
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Gender | Female
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Dates
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Enumeration Date | 11/22/2011
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Last Update Date | 11/22/2011
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Provider Practice Location Address
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Address Line | 2933 VAUXHALL RD
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City | VAUXHALL
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State | NJ
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Zip | 07088-1260
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Country | US
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Telephone | 908-378-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 12 GEORGE ST
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City | BLOOMFIELD
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State | NJ
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Zip | 07003-4318
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Country | US
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Telephone | 973-338-8134
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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 | 28RI03375000
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License Number State | NJ
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