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General NPI Number Information
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NPI Number | 1881487577
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Entity Type | Individual
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Provider Name | SUSAN C VILLEGAS PHARMD, BCPPS
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Gender | Female
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 150 BERGEN ST
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City | NEWARK
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State | NJ
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Zip | 07103-2496
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Country | US
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Telephone | 973-972-2183
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Fax |
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Provider Business Mailing Address
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Address Line | 2-11 SUMMIT AVE
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City | FAIR LAWN
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State | NJ
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Zip | 07410-2043
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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 | 054756
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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 | 28RI03481100
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License Number State | NJ
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