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General NPI Number Information
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NPI Number | 1023272937
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Entity Type | Organization
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Legal Business Name | ROBERT DENNIS MD PA
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 2040 SIXTH AVENUE SUITE 1 DOOR B
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City | NEPTUNE
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State | NJ
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Zip | 07753
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Country | US
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Telephone | 732-775-5189
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Fax | 732-775-3065
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Provider Business Mailing Address
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Address Line | 2040 SIXTH AVENUE SUITE 1 DOOR B
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City | NEPTUNE
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State | NJ
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Zip | 07753
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Country | US
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Telephone | 732-775-5189
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Fax | 732-775-3065
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Authorized Official
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Title or Position | BILLING
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Name | SOFIA T STEWART
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Credential |
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Telephone | 732-775-5189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA25988
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License Number State | NJ
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