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General NPI Number Information
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NPI Number | 1659492940
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Entity Type | Individual
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Provider Name | JOHN MAIORANO R.PH.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1306 RT33
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City | FARMINGDALE
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State | NJ
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Zip | 07727
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Country | US
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Telephone | 732-938-5545
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Fax |
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Provider Business Mailing Address
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Address Line | 123 EAST END AVENUE PO BOX 963
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City | ISLAND HEIGHTS
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State | NJ
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Zip | 08732-0963
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Country | US
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Telephone | 732-288-2998
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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 | 14331
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License Number State | NJ
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