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General NPI Number Information
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NPI Number | 1053472266
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Entity Type | Organization
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Legal Business Name | DIGESTIVE DISEASE CENTER, PA
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 11 STATE RD SUITE 200
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City | PRINCETON
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State | NJ
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Zip | 08540-1318
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Country | US
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Telephone | 609-497-2770
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Fax | 609-497-2771
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Provider Business Mailing Address
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Address Line | PO BOX 747
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City | BELLE MEAD
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State | NJ
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Zip | 08502-0747
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Country | US
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Telephone | 609-497-2770
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Fax | 609-497-2771
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CRAIG MARGULIES
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Credential | MD
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Telephone | 609-497-2770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MA064092
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License Number State | NJ
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