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General NPI Number Information
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NPI Number | 1629326624
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Entity Type | Organization
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Legal Business Name | CPS ENTERPRISES INC
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Dates
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Enumeration Date | 08/22/2012
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Last Update Date | 01/13/2017
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Provider Practice Location Address
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Address Line | 4027 MARKET ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-3002
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Country | US
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Telephone | 215-921-5660
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Fax | 215-921-5497
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Provider Business Mailing Address
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Address Line | 4027 MARKET ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-3002
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Country | US
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Telephone | 215-921-5660
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Fax | 215-921-5497
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Authorized Official
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Title or Position | PHARMACY COORDINATOR
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Name | ANMOL KAMRA
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Credential |
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Telephone | 215-921-5660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP482296
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License Number State | PA
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