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General NPI Number Information
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NPI Number | 1639285042
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Entity Type | Organization
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Legal Business Name | MARS HEALTHCARE INC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 12/14/2018
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Provider Practice Location Address
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Address Line | 17 N UNION AVE #1
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City | CRANFORD
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State | NJ
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Zip | 07016-5101
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Country | US
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Telephone | 908-276-0062
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Fax | 908-276-9450
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Provider Business Mailing Address
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Address Line | 17 N UNION AVE # 1
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City | CRANFORD
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State | NJ
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Zip | 07016-5101
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Country | US
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Telephone | 908-276-0062
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Fax | 908-276-9450
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. NILAY THAKKAR
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Credential | RPH
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Telephone | 908-276-0062
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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 | 28R500355900
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License Number State | NJ
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