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General NPI Number Information
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NPI Number | 1417172115
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Entity Type | Individual
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Provider Name | RENATA KRALJ PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1505 W SHERMAN AVE
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City | VINELAND
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State | NJ
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Zip | 08360-6912
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Country | US
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Telephone | 856-641-7557
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Fax | 856-641-7651
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Provider Business Mailing Address
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Address Line | 1060 ALMOND RD
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City | PITTSGROVE
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State | NJ
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Zip | 08318-3950
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Country | US
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Telephone | 856-358-8145
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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 | 28RI02126200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP437925
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | A1-0003371
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License Number State | DE
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