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NPI 1598063893

NPI 1598063893 : RUCHI D RAWAL PHARMACY TECHNICIAN : DENVILLE, NJ

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General NPI Number Information
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    NPI Number           |    1598063893
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    Entity Type          |    Individual 
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    Provider Name        |    RUCHI D RAWAL PHARMACY TECHNICIAN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/10/2011
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    Last Update Date     |    03/10/2011
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Provider Practice Location Address
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    Address Line         |    66 FORD RD SUITE 230
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    City                 |    DENVILLE
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    State                |    NJ
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    Zip                  |    07834-1379
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    Country              |    US
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    Telephone            |    973-983-6300
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    Fax                  |    973-983-5684
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Provider Business Mailing Address
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    Address Line         |    1100 PARSIPPANY BLVD APT#206
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    City                 |    PARSIPPANY
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    State                |    NJ
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    Zip                  |    07054-1851
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    Country              |    US
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    Telephone            |    908-444-1221
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    Fax                  |    973-983-5684
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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        |    183700000X
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    Taxonomy Name        |    Pharmacy Technician
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    License Number       |    28RW01503900
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    License Number State |    NJ
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