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General NPI Number Information
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NPI Number | 1730049545
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Entity Type | Individual
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Provider Name | XAVIER PERKINS
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Gender | Male
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 300 CENTRAL AVE
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City | EAST ORANGE
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State | NJ
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Zip | 07018-2819
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Country | US
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Telephone | 973-266-4485
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Fax |
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Provider Business Mailing Address
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Address Line | 200 BOYDEN AVE APT 359
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-2685
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Country | US
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Telephone | 973-266-4485
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 28RI04449700
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License Number State | NJ
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