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General NPI Number Information
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NPI Number | 1619041258
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Entity Type | Organization
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Legal Business Name | FOOD CIRCUS SUPERMARKETS INC.
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1560 STATE ROUTE 35
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City | OCEAN
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State | NJ
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Zip | 07712-3521
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Country | US
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Telephone | 732-493-1212
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Fax | 732-695-1419
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Provider Business Mailing Address
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Address Line | 1560 STATE ROUTE 35
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City | OCEAN
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State | NJ
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Zip | 07712-3521
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Country | US
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Telephone | 732-493-1212
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Fax | 732-695-1419
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | MR. PAUL SCHNEIDER
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Credential | R.P.
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Telephone | 731-758-0008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | R11066
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License Number State | NJ
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