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General NPI Number Information
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NPI Number | 1790826105
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Entity Type | Organization
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Legal Business Name | COMMUNITY SURGICAL SUPPLY OF TOMS RIVER, LLC
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 1390 ROUTE 37 W SUITE 1
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City | TOMS RIVER
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State | NJ
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Zip | 08754-4924
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Country | US
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Telephone | 732-349-2990
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Fax |
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Provider Business Mailing Address
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Address Line | 220 W GERMANTOWN PIKE STE 250
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1437
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Country | US
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Telephone | 610-630-6357
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Fax |
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | WENDY RUSSALESI
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Credential |
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Telephone | 842-469-4994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 28RS00625900
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License Number State | NJ
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