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General NPI Number Information
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NPI Number | 1730524935
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Entity Type | Individual
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Provider Name | IRENE GOON
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Gender | Female
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Dates
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Enumeration Date | 05/02/2013
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 1195 ROUTE 70 STE 1006
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5946
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Country | US
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Telephone | 732-994-7888
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Fax |
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Provider Business Mailing Address
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Address Line | 14 REMBRANDT WAY
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City | EAST WINDSOR
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State | NJ
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Zip | 08520-2991
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Country | US
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Telephone | 609-918-1083
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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 | 28RI02479200
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License Number State | NJ
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