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General NPI Number Information
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NPI Number | 1063516441
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Entity Type | Individual
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Provider Name | JOHN LEWIS SAPORITO MD
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Gender | Male
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 1131 BROAD STREET STE 102
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City | SHREWSBURY
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State | NJ
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Zip | 07702
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Country | US
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Telephone | 732-389-2500
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Fax | 732-389-2820
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Provider Business Mailing Address
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Address Line | 1131 BROAD STREET STE 102
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City | SHREWSBURY
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State | NJ
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Zip | 07702
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Country | US
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Telephone | 732-389-2500
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Fax | 732-389-2820
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 25MA03949800
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License Number State | NJ
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