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General NPI Number Information
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NPI Number | 1013485671
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Entity Type | Organization
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Legal Business Name | ONE PEDIATRICS NJ LLC
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Dates
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Enumeration Date | 11/12/2018
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Last Update Date | 11/12/2018
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Provider Practice Location Address
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Address Line | 180 W 80TH ST STE 214
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City | NEW YORK
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State | NY
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Zip | 10024-6370
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Country | US
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Telephone | 800-888-4504
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Fax | 212-937-3992
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Provider Business Mailing Address
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Address Line | 180 W 80TH ST STE 214
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City | NEW YORK
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State | NY
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Zip | 10024-6370
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Country | US
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Telephone | 800-888-4504
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Fax | 212-937-3992
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Authorized Official
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Title or Position | MAJORITY MEMBER
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Name | DANIA RUMBAK
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Credential | M.D.
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Telephone | 800-888-4504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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