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General NPI Number Information
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NPI Number | 1831451418
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Entity Type | Individual
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Provider Name | ANTHONY AFFIGATO R.PH.
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Gender | Male
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 06/11/2012
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Provider Practice Location Address
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Address Line | 2110 RTE 130
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City | BEVERLY
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State | NJ
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Zip | 08010-3103
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Country | US
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Telephone | 609-871-1550
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Fax | 609-877-7719
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Provider Business Mailing Address
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Address Line | 2110 RT 130
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City | BEVERLY
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State | NJ
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Zip | 08010-3103
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Country | US
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Telephone | 609-871-1550
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Fax | 609-877-7719
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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 | 28RI01555400
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License Number State | NJ
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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 | RP035037R
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License Number State | PA
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