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General NPI Number Information
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NPI Number | 1932703030
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Entity Type | Individual
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Provider Name | RAYMOND ROGERS
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Gender | Male
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 600 KINGS HWY N
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City | CHERRY HILL
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State | NJ
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Zip | 08034-1505
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Country | US
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Telephone | 856-482-2282
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Fax |
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Provider Business Mailing Address
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Address Line | 30 MORGAN DR
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City | CLAYTON
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State | NJ
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Zip | 08312-2442
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Country | US
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Telephone | 856-307-9304
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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 | 28RJ03188
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License Number State | NJ
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