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General NPI Number Information
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NPI Number | 1760411649
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Entity Type | Individual
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Provider Name | KATIE MILITELLO PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1945 STATE ROUTE 33 PHARMACY DEPT
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City | NEPTUNE
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State | NJ
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Zip | 07753-4859
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Country | US
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Telephone | 732-776-4070
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Fax | 732-776-2542
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Provider Business Mailing Address
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Address Line | 42 HERON DR
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City | MARLBORO
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State | NJ
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Zip | 07746-1905
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Country | US
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Telephone | 732-706-0773
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Fax | 732-776-2542
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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 | 28RI02646400
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License Number State | NJ
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