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General NPI Number Information
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NPI Number | 1972248334
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Entity Type | Individual
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Provider Name | DR. JITHU JOSEPH
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Gender | Female
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Dates
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Enumeration Date | 04/30/2022
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Last Update Date | 04/30/2022
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Provider Practice Location Address
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Address Line | 164 PARSIPPANY RD
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City | PARSIPPANY
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State | NJ
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Zip | 07054-4797
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Country | US
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Telephone | 973-887-9444
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Fax |
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Provider Business Mailing Address
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Address Line | 221 MASSACHUSETTS AVE
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City | VALLEY COTTAGE
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State | NY
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Zip | 10989-2508
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Country | US
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Telephone | 845-461-4514
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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 | 28RI04241300
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License Number State | NJ
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