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General NPI Number Information
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NPI Number | 1497463434
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Entity Type | Organization
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Legal Business Name | PERFECTING PEDS
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 1611 OAK AVE
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035-1511
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Country | US
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Telephone | 856-217-7533
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Fax | 302-355-3787
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Provider Business Mailing Address
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Address Line | 1611 OAK AVE
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City | HADDON HEIGHTS
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State | NJ
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Zip | 08035-1511
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Country | US
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Telephone | 856-217-7533
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Fax | 302-355-3787
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Authorized Official
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Title or Position | CEO
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Name | JENA DIANE QUINN
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Credential | PHARMD
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Telephone | 856-217-7533
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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 |
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License Number State |
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