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General NPI Number Information
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NPI Number | 1073702205
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Entity Type | Organization
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Legal Business Name | INMAN MEDICAL ASSOCIATES,LLC
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 805 INMAN AVE
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City | COLONIA
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State | NJ
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Zip | 07067-1433
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Country | US
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Telephone | 732-306-8615
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Fax |
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Provider Business Mailing Address
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Address Line | 34 WINDING BROOK WAY
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City | EDISON
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State | NJ
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Zip | 08820-4437
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Country | US
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Telephone | 732-306-8615
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DR. SAPNA JAIN
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Credential | MD
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Telephone | 732-306-8615
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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 | 25MA073006
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License Number State | NJ
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