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General NPI Number Information
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NPI Number | 1033296926
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Entity Type | Organization
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Legal Business Name | STANLEY KLUGHAUPT MD PA
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 50 NEWARK AVE SUITE 306
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City | BELLEVILLE
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State | NJ
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Zip | 07109-1185
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Country | US
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Telephone | 973-450-0220
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Fax | 973-450-0162
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Provider Business Mailing Address
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Address Line | 50 NEWARK AVE SUITE 306
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City | BELLEVILLE
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State | NJ
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Zip | 07109-1185
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Country | US
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Telephone | 973-450-0220
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Fax | 973-450-0162
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LOVINA THADANI
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Credential |
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Telephone | 201-447-4447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MA33140
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License Number State | NJ
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