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General NPI Number Information
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NPI Number | 1972877181
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Entity Type | Individual
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Provider Name | DIANA KOVACEVIC PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 2093 ROUTE 130 N
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City | BURLINGTON
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State | NJ
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Zip | 08016-9748
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Country | US
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Telephone | 609-499-5781
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Fax | 609-499-5786
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Provider Business Mailing Address
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Address Line | 2093 ROUTE 130 N
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City | BURLINGTON
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State | NJ
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Zip | 08016-9748
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Country | US
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Telephone | 609-499-5781
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Fax | 609-499-5786
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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 | 28RI03157700
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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 | 03328965
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License Number State | OH
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