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General NPI Number Information
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NPI Number | 1497887418
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Entity Type | Organization
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Legal Business Name | JAMES L. DIAMORE
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 101 NEW BROADWAY
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City | BROOKLAWN
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State | NJ
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Zip | 08030-2545
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Country | US
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Telephone | 856-456-6121
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Fax | 856-742-1845
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Provider Business Mailing Address
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Address Line | 101 NEW BROADWAY
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City | BROOKLAWN
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State | NJ
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Zip | 08030-2545
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Country | US
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Telephone | 856-456-6121
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Fax | 856-742-1845
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES L DIAMORE
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Credential | RPH
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Telephone | 856-456-6121
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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 | 28RS00356800
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License Number State | NJ
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