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General NPI Number Information
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NPI Number | 1669794509
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Entity Type | Individual
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Provider Name | VIPULKUMAR R DALAL R.PH.
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Gender | Male
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 1422 W PROSPECT ST
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816
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Country | US
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Telephone | 732-238-4646
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Fax | 732-257-1440
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Provider Business Mailing Address
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Address Line | 17 RUBAR DR
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City | PARLIN
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State | NJ
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Zip | 08859-2507
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Country | US
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Telephone | 732-238-4646
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Fax | 732-257-1440
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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 | 28RI02053500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 040468
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP-037954-R
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License Number State | PA
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