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General NPI Number Information
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NPI Number | 1427109255
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Entity Type | Organization
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Legal Business Name | 50 MARKET ST CORP
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 06/10/2011
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Provider Practice Location Address
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Address Line | 377 VALLEY RD
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City | CLIFTON
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State | NJ
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Zip | 07013
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Country | US
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Telephone | 973-278-8876
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Fax | 973-279-3059
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Provider Business Mailing Address
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Address Line | 377 VALLEY RD
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City | CLIFTON
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State | NJ
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Zip | 07013
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Country | US
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Telephone | 973-278-8876
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Fax | 973-279-3059
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GERALD CIOCE
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Credential | RPH
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Telephone | 973-278-8876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 28RS00275500
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License Number State | NJ
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