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General NPI Number Information
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NPI Number | 1811508294
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Entity Type | Individual
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Provider Name | SNEHA M JOHN PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 293 US HIGHWAY 206
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City | FLANDERS
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State | NJ
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Zip | 07836-9548
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Country | US
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Telephone | 973-598-8913
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Fax |
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Provider Business Mailing Address
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Address Line | 768 SPRINGFIELD AVE APT E3
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City | SUMMIT
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State | NJ
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Zip | 07901-2335
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Country | US
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Telephone | 215-939-6901
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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 | 28RI03593000
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License Number State | NJ
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