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General NPI Number Information
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NPI Number | 1467490177
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Entity Type | Organization
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Legal Business Name | EJ AND JJ INC
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 12/29/2014
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Provider Practice Location Address
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Address Line | 2468 LEMOINE AVE
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City | FORT LEE
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State | NJ
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Zip | 07024-6206
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Country | US
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Telephone | 201-944-1002
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Fax | 201-944-6336
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Provider Business Mailing Address
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Address Line | 2468 LEMOINE AVE
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City | FORT LEE
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State | NJ
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Zip | 07024-6206
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Country | US
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Telephone | 201-944-1002
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Fax | 201-944-6336
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Authorized Official
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Title or Position | PHARMACIST PRESIDENT
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Name | MR. JAMES JISUK JUNG
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Credential | R.PH.
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Telephone | 201-944-1002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28RS00534000
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License Number State | NJ
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