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General NPI Number Information
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NPI Number | 1952289183
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Entity Type | Individual
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Provider Name | JONATHAN KURIAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 300 2ND AVE
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City | LONG BRANCH
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State | NJ
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Zip | 07740-6395
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Country | US
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Telephone | 732-222-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 32 PLEASANT AVE
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City | BERGENFIELD
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State | NJ
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Zip | 07621-3126
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Country | US
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Telephone | 201-390-5905
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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 | 28RI04451100
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License Number State | NJ
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