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General NPI Number Information
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NPI Number | 1801334818
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Entity Type | Individual
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Provider Name | SANJEDA CHUMKI PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 02/09/2017
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 23 COURT STREET
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City | NEWARK
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State | NJ
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Zip | 07102
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Country | US
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Telephone | 862-772-0442
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Fax |
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Provider Business Mailing Address
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Address Line | 17505 WEXFORD TER APT 1K JAMAICA
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City | JAMAICA
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State | NY
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Zip | 11432-2856
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Country | US
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Telephone | 646-244-2557
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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 | 28RI03816300
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License Number State | NJ
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