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General NPI Number Information
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NPI Number | 1073886818
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Entity Type | Organization
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Legal Business Name | PULMONARY & SLEEP ASSOCIATES OF CENTRAL JERSEY,PC
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Dates
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Enumeration Date | 02/09/2012
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Last Update Date | 02/09/2012
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Provider Practice Location Address
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Address Line | 758 ROUTE 18
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-4910
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Country | US
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Telephone | 732-325-7788
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Fax | 732-626-6394
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Provider Business Mailing Address
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Address Line | PO BOX 6218
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-6218
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Country | US
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Telephone | 732-325-7788
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Fax | 732-626-6394
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Authorized Official
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Title or Position | OWNER
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Name | PREETHI R DENDI
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Credential | MD
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Telephone | 732-325-7788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 25MA08121400
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License Number State | NJ
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