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General NPI Number Information
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NPI Number | 1710377643
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Entity Type | Individual
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Provider Name | SAHARRA DAVIS
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Gender | Female
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Dates
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Enumeration Date | 01/30/2015
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Last Update Date | 01/30/2015
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Provider Practice Location Address
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Address Line | 500 NASSAU PARK BLVD
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City | PRINCETON
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State | NJ
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Zip | 08540-5991
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Country | US
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Telephone | 609-951-0271
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Fax |
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Provider Business Mailing Address
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Address Line | 225 BEECHWOOD AVE APT 406
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City | TRENTON
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State | NJ
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Zip | 08618-3446
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Country | US
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Telephone |
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 28RW012772800
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License Number State | NJ
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