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General NPI Number Information
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NPI Number | 1780862979
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Entity Type | Individual
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Provider Name | MARC J CIRELLO
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Gender | Male
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Dates
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Enumeration Date | 02/10/2008
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Last Update Date | 02/10/2008
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Provider Practice Location Address
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Address Line | 500 ROUTE 23
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City | POMPTON PLAINS
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State | NJ
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Zip | 07444-1853
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Country | US
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Telephone | 973-616-7727
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Fax | 973-616-1177
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Provider Business Mailing Address
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Address Line | 173 PASADENA PL
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City | HAWTHORNE
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State | NJ
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Zip | 07506-2838
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Country | US
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Telephone |
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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 | 28RI01582000
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License Number State | NJ
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