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General NPI Number Information
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NPI Number | 1750767109
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Entity Type | Individual
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Provider Name | ABRAHAM TAK
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Gender | Male
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Dates
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Enumeration Date | 08/09/2015
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Last Update Date | 08/09/2015
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Provider Practice Location Address
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Address Line | 2021 NOTTINGHAM WAY
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City | HAMILTON
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State | NJ
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Zip | 08619-3029
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Country | US
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Telephone | 609-587-1059
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Fax |
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Provider Business Mailing Address
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Address Line | 11112 E RUN DR
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-1234
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Country | US
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Telephone | 818-849-0668
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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 | 28RI03715400
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License Number State | NJ
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