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General NPI Number Information
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NPI Number | 1710535992
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Entity Type | Individual
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Provider Name | JUSTIN NGUYEN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2019
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Last Update Date | 08/30/2019
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Provider Practice Location Address
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Address Line | 3502 ROUTE 9
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City | HOWELL
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State | NJ
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Zip | 07731-3345
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Country | US
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Telephone | 866-355-7797
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Fax | 888-551-6289
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Provider Business Mailing Address
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Address Line | 3502 ROUTE 9
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City | HOWELL
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State | NJ
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Zip | 07731-3345
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Country | US
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Telephone | 866-355-7797
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Fax | 888-551-6289
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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 | 28RI04046500
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License Number State | NJ
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