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General NPI Number Information
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NPI Number | 1083013122
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Entity Type | Organization
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Legal Business Name | INSPIRA MEDICAL CENTER
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 08/14/2014
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Provider Practice Location Address
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Address Line | 543 N BROAD ST
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City | WOODBURY
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State | NJ
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Zip | 08096-1603
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Country | US
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Telephone | 856-686-5543
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Fax |
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Provider Business Mailing Address
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Address Line | 543 N BROAD ST
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City | WOODBURY
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State | NJ
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Zip | 08096-1603
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | ALLISON M LANT
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Credential | LSW
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Telephone | 856-686-5543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 44SL05267700
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License Number State | NJ
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