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NPI 1992173488

NPI 1992173488 : PAYAL AMIN : MILLTOWN, NJ

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General NPI Number Information
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    NPI Number           |    1992173488
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    Entity Type          |    Individual 
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    Provider Name        |    PAYAL AMIN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/14/2015
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    Last Update Date     |    12/11/2020
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Provider Practice Location Address
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    Address Line         |    400 RYDERS LN 
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    City                 |    MILLTOWN
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    State                |    NJ
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    Zip                  |    08850-1700
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    Country              |    US
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    Telephone            |    732-613-3903
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    101 GRAND AVE 
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    City                 |    NORTH BRUNSWICK
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    State                |    NJ
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    Zip                  |    08902-5027
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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       |    28RI03686400
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    License Number State |    NJ
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