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General NPI Number Information
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NPI Number | 1538438973
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Entity Type | Individual
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Provider Name | ELI KORN R.PH.
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Gender | Male
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Dates
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Enumeration Date | 12/14/2011
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Last Update Date | 12/14/2011
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Provider Practice Location Address
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Address Line | 703 GINESI DR
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1235
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Country | US
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Telephone | 732-972-9795
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Fax | 732-972-3985
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Provider Business Mailing Address
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Address Line | 703 GINESI DR
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1235
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Country | US
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Telephone | 732-972-9795
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Fax | 732-972-3985
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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 | 28RI01823000
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License Number State | NJ
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