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General NPI Number Information
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NPI Number | 1720975337
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Entity Type | Individual
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Provider Name | RODOLFO SENO OMPOD III RPH
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Gender | Male
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 425 W MAIN ST
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City | FREEHOLD
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State | NJ
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Zip | 07728-2519
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Country | US
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Telephone | 732-462-5841
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Fax |
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Provider Business Mailing Address
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Address Line | 72 FORTUNE CT
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City | TOMS RIVER
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State | NJ
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Zip | 08755-1491
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Country | US
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Telephone | 732-581-8712
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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 | 28RI04436900
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License Number State | NJ
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