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General NPI Number Information
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NPI Number | 1457412520
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Entity Type | Organization
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Legal Business Name | MARUTI RX LLC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 930 S OLDEN AVE
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City | TRENTON
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State | NJ
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Zip | 08610-5160
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Country | US
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Telephone | 609-586-6661
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Fax | 609-586-0988
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Provider Business Mailing Address
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Address Line | 930 S OLDEN AVE
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City | TRENTON
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State | NJ
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Zip | 08610-5160
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Country | US
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Telephone | 609-586-6661
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Fax | 609-586-0988
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Authorized Official
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Title or Position | MANAGER
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Name | RIMA PADIA
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Credential |
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Telephone | 609-826-9003
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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 |
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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 | 28RS00505400
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License Number State | NJ
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