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General NPI Number Information
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NPI Number | 1972237253
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Entity Type | Individual
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Provider Name | ANTHONY M DELGRECO RPH
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Gender | Male
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Dates
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Enumeration Date | 07/13/2022
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 16 E PROSPECT ST
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City | WALDWICK
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State | NJ
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Zip | 07463-2098
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Country | US
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Telephone | 201-445-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 1530 PALISADE AVE APT 14N
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City | FORT LEE
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State | NJ
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Zip | 07024-5422
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Country | US
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Telephone | 201-707-5368
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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 | PCT.0003677
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License Number State | CT
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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 | 28RI01136400
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License Number State | NJ
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