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General NPI Number Information
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NPI Number | 1821691635
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Entity Type | Individual
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Provider Name | SALVATORE VELEZ PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 11/16/2020
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Last Update Date | 11/16/2020
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Provider Practice Location Address
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Address Line | 955 W BAY AVE
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City | BARNEGAT
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State | NJ
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Zip | 08005-1250
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Country | US
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Telephone | 609-660-7699
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Fax | 609-660-7644
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Provider Business Mailing Address
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Address Line | 2 SECRET COVE CT
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City | BARNEGAT
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State | NJ
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Zip | 08005-8105
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Country | US
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Telephone | 609-661-2758
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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 | 28RI02071100
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License Number State | NJ
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