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General NPI Number Information
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NPI Number | 1588012496
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Entity Type | Individual
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Provider Name | GRACE MUSOKE
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Gender | Female
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 412 SICKLERVILLE RD JOLIN'S PHARMACY #103
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City | SICKLERVILLE
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State | NJ
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Zip | 08081
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Country | US
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Telephone | 856-885-4510
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Fax |
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Provider Business Mailing Address
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Address Line | 2114 JACKSONVILLE JOBSTOWN RD
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City | JOBSTOWN
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State | NJ
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Zip | 08041-2007
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Country | US
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Telephone | 609-510-1174
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Fax |
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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 | 28RI02635200
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License Number State | NJ
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