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General NPI Number Information
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NPI Number | 1942097894
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Entity Type | Individual
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Provider Name | SCOTT JOSEPH DEANGELO RPH
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Gender | Male
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 3007 OCEAN HEIGHTS AVE
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City | EGG HARBOR TOWNSHIP
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State | NJ
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Zip | 08234-7749
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Country | US
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Telephone | 855-927-0392
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Fax |
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Provider Business Mailing Address
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Address Line | 605 N DUDLEY AVE
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City | VENTNOR CITY
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State | NJ
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Zip | 08406-1515
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Country | US
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Telephone | 215-327-8955
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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 | 28RI02642200
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License Number State | NJ
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