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General NPI Number Information
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NPI Number | 1548684822
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Entity Type | Organization
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Legal Business Name | SPEEDYRX LLC.
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 05/29/2015
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Provider Practice Location Address
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Address Line | 1540 W ELIZABETH AVE
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City | LINDEN
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State | NJ
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Zip | 07036-6323
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Country | US
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Telephone | 732-387-7577
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Fax | 732-719-7577
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Provider Business Mailing Address
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Address Line | 1540 W ELIZABETH AVE
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City | LINDEN
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State | NJ
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Zip | 07036-6323
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Country | US
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Telephone | 732-387-7577
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Fax | 732-719-7577
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Authorized Official
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Title or Position | PRESIDENT
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Name | BENTZION SALAMON
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Credential |
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Telephone | 732-387-7577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 28RS00731400
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License Number State | NJ
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