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General NPI Number Information
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NPI Number | 1407134976
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Entity Type | Organization
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Legal Business Name | HSJC LLC
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Dates
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Enumeration Date | 08/01/2011
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 3357 N FRONT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-5807
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Country | US
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Telephone | 215-634-2444
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Fax | 215-634-2447
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Provider Business Mailing Address
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Address Line | 3357 N FRONT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19140-5807
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | HAL SING
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Credential |
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Telephone | 215-869-8711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 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 #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PP482223
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License Number State | PA
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