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General NPI Number Information
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NPI Number | 1760776413
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Entity Type | Individual
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Provider Name | JOSEPH GANI
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Gender | Male
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Dates
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Enumeration Date | 05/29/2011
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Last Update Date | 05/29/2011
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Provider Practice Location Address
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Address Line | 1460 RTE 23
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City | WAYNE
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State | NJ
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Zip | 07470-7503
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Country | US
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Telephone | 973-633-1057
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Fax |
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Provider Business Mailing Address
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Address Line | 511 6TH ST
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City | CARLSTADT
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State | NJ
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Zip | 07072-1229
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Country | US
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Telephone | 201-438-5094
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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 | 28RI02072000
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License Number State | NJ
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