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General NPI Number Information
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NPI Number | 1033368212
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Entity Type | Individual
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Provider Name | NICHOLAS A. PARTENOPE M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/12/2008
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Last Update Date | 09/12/2008
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Provider Practice Location Address
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Address Line | 98 JAMES ST SUITE 308, MEDIPLEX BUILDING
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City | EDISON
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State | NJ
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Zip | 08820-3902
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Country | US
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Telephone | 732-388-9709
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Fax | 732-388-9709
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Provider Business Mailing Address
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Address Line | 157 KENSINGTON AVE
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City | COLONIA
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State | NJ
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Zip | 07067-2925
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Country | US
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Telephone | 732-388-9228
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Fax | 732-388-9709
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 25MA03855200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number | 25MA03855200
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 25MA03855200
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License Number State | NJ
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