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General NPI Number Information
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NPI Number | 1821512732
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Entity Type | Individual
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Provider Name | URSZULA GOZDZ RPH
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Gender | Female
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 08/01/2017
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Provider Practice Location Address
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Address Line | 1199 AMBOY AVE
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City | EDISON
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State | NJ
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Zip | 08837-2552
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Country | US
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Telephone | 732-906-5794
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Fax | 732-906-5795
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Provider Business Mailing Address
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Address Line | 106 E CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-1304
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Country | US
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Telephone | 908-938-5180
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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 | 28RI03241100
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License Number State | NJ
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