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General NPI Number Information
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NPI Number | 1811579253
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Entity Type | Individual
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Provider Name | LIPI SONI
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Gender | Female
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 385 TREMONT AVE
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City | EAST ORANGE
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State | NJ
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Zip | 07018-1023
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Country | US
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Telephone | 973-676-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 401 OAK TREE AVE
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City | SOUTH PLAINFIELD
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State | NJ
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Zip | 07080-4412
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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 | 064747
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI0341400
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License Number State | NJ
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