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General NPI Number Information
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NPI Number | 1679900583
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Entity Type | Individual
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Provider Name | JOSEPH P SANTISI RPH
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Gender | Male
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Dates
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Enumeration Date | 10/09/2013
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Last Update Date | 10/09/2013
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Provider Practice Location Address
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Address Line | 1061 WHITEHORSE MERCERVILLE RD
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City | TRENTON
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State | NJ
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Zip | 08610-1424
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Country | US
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Telephone | 609-581-2583
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Fax | 609-585-5086
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Provider Business Mailing Address
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Address Line | 18 JEFFERSON AVE
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1710
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Country | US
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Telephone | 732-545-6351
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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 | 28RI02312300
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License Number State | NJ
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