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General NPI Number Information
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NPI Number | 1053634436
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Entity Type | Organization
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Legal Business Name | NANCY LENTINE D.O., PA
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Dates
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Enumeration Date | 03/12/2010
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Last Update Date | 10/15/2010
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Provider Practice Location Address
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Address Line | 70 EAST MAIN STREET 1ST FLOOR
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City | LITTLE FALLS
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State | NJ
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Zip | 07424
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Country | US
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Telephone | 973-237-0700
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Fax | 973-237-0777
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Provider Business Mailing Address
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Address Line | 70 EAST MAIN STREET 1ST FLOOR
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City | LITTLE FALLS
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State | NJ
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Zip | 07424
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Country | US
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Telephone | 973-237-0700
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Fax | 973-237-0777
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | NANCY LENTINE
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Credential | D.O.
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Telephone | 973-237-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MB06165500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00145600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MB061655
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License Number State | NJ
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