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General NPI Number Information
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NPI Number | 1730404732
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Entity Type | Individual
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Provider Name | FRANK JOHN DEGROOT RP,PD
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Gender | Male
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Dates
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Enumeration Date | 04/01/2010
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Last Update Date | 04/01/2010
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Provider Practice Location Address
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Address Line | 155 STATE ROUTE 94
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City | BLAIRSTOWN
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State | NJ
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Zip | 07825-3010
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Country | US
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Telephone | 908-459-4807
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Fax |
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Provider Business Mailing Address
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Address Line | 40 AUBLE RD
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City | BLAIRSTOWN
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State | NJ
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Zip | 07825-3010
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Country | US
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Telephone | 908-459-4807
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | NJ16261
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License Number State | NJ
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