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General NPI Number Information
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NPI Number | 1962176735
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Entity Type | Individual
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Provider Name | BENJAMIN JULIUS GURSKY PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 08/05/2021
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Provider Practice Location Address
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Address Line | 350 PREAKNESS AVE
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City | PATERSON
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State | NJ
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Zip | 07502-1757
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Country | US
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Telephone | 973-595-1075
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Fax |
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Provider Business Mailing Address
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Address Line | 437 HARRISON AVE
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City | HIGHLAND PARK
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State | NJ
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Zip | 08904-2707
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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 | 28RI04110600
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License Number State | NJ
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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 | 28RJ08766
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License Number State | NJ
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