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General NPI Number Information
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NPI Number | 1861769291
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Entity Type | Individual
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Provider Name | MARIA OLMOS
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Gender | Female
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 22 MARKET ST
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City | PATERSON
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State | NJ
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Zip | 07501-1721
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Country | US
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Telephone | 973-523-2070
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Fax | 973-523-2590
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Provider Business Mailing Address
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Address Line | 263 JACKSONVILLE DR
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City | PARSIPPANY
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State | NJ
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Zip | 07054-5018
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Country | US
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Telephone | 973-463-9101
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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 | 28RI03193700
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License Number State | NJ
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