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General NPI Number Information
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NPI Number | 1982922944
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Entity Type | Individual
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Provider Name | JAVIER RODRIGUEZ R.PH.
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Gender | Male
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Dates
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Enumeration Date | 05/14/2010
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Last Update Date | 02/09/2014
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Provider Practice Location Address
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Address Line | 994 MADISON AVE
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City | PATERSON
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State | NJ
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Zip | 07501-3636
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Country | US
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Telephone | 973-523-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 10 NOLAN DR
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City | MILLSTONE TWP
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State | NJ
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Zip | 08510-9417
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Country | US
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Telephone | 201-222-2951
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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 | 28RI02671800
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License Number State | NJ
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