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General NPI Number Information
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NPI Number | 1679671606
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Entity Type | Organization
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Legal Business Name | 7 ALEFTV, INC.
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/26/2013
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Provider Practice Location Address
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Address Line | 118 BROAD AVE SUITE N4
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City | PALISADES PARK
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State | NJ
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Zip | 07650-2717
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Country | US
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Telephone | 201-945-7222
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Fax | 201-482-8529
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Provider Business Mailing Address
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Address Line | 118 BROAD AVE SUITE N4
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City | PALISADES PARK
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State | NJ
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Zip | 07650-2717
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Country | US
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Telephone | 201-945-7222
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Fax | 201-482-8529
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Authorized Official
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Title or Position | PIC
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Name | JEANNIE S JOO
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Credential | RPH
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Telephone | 201-945-7222
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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 | 28RS00398200
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License Number State | NJ
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