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General NPI Number Information
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NPI Number | 1508878992
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Entity Type | Organization
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Legal Business Name | TIFFANY NATURAL PHARMACY INC.
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 09/25/2017
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Provider Practice Location Address
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Address Line | 1115 SOUTH AVE W
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City | WESTFIELD
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State | NJ
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Zip | 07090-1418
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Country | US
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Telephone | 908-233-2200
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Fax | 908-233-3975
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Provider Business Mailing Address
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Address Line | 1115 SOUTH AVE W
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City | WESTFIELD
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State | NJ
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Zip | 07090-1418
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Country | US
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Telephone | 908-233-2200
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Fax | 908-233-3975
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | MR. BRIAN B PINTO
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Credential | R.PH.
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Telephone | 908-233-6985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 28RS0057530000
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License Number State | NJ
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