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NPI 1417044389

NPI 1417044389 : PANTHER HEALTHCARE ENTERPRISES INC : HACKETTSTOWN, NJ

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General NPI Number Information
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    NPI Number           |    1417044389
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    Entity Type          |    Organization 
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    Legal Business Name  |    PANTHER HEALTHCARE ENTERPRISES INC 
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Dates
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    Enumeration Date     |    10/10/2006
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    Last Update Date     |    05/16/2023
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Provider Practice Location Address
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    Address Line         |    1581 COUNTY ROAD 517 
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    City                 |    HACKETTSTOWN
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    State                |    NJ
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    Zip                  |    07840-2708
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    Country              |    US
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    Telephone            |    908-852-8818
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    Fax                  |    908-852-8775
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Provider Business Mailing Address
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    Address Line         |    1581 COUNTY ROAD 517 
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    City                 |    HACKETTSTOWN
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    State                |    NJ
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    Zip                  |    07840-2708
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    Country              |    US
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    Telephone            |    908-852-8818
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    Fax                  |    908-852-8775
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     NADEAR  HASSAN 
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    Credential           |    
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    Telephone            |    908-852-8818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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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        |    333600000X
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    Taxonomy Name        |    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        |    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 #4
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    28RS00610800
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    License Number State |    NJ
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Taxonomy #5
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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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