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General NPI Number Information
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NPI Number | 1477763555
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Entity Type | Individual
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Provider Name | RITA A BORAD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 104 ORLANDO DR
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City | RARITAN
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State | NJ
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Zip | 08869-2124
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Country | US
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Telephone | 908-725-3001
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Fax | 732-725-3006
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Provider Business Mailing Address
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Address Line | 26 DEBORAH DR
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City | SOMERSET
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State | NJ
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Zip | 08873-4615
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Country | US
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Telephone | 732-626-0207
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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 | 28RI02959700
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License Number State | NJ
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