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General NPI Number Information
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NPI Number | 1083090740
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Entity Type | Organization
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Legal Business Name | MERCER COUNTY HEMATOLOGY & ONCOLOGY
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 40 FULD ST SUITE 404
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City | TRENTON
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State | NJ
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Zip | 08638-5247
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Country | US
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Telephone | 609-394-0660
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Fax | 609-394-1004
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Provider Business Mailing Address
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Address Line | 40 FULD ST SUITE 404
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City | TRENTON
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State | NJ
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Zip | 08638-5247
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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 | OWNER
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Name | DR. ABDUL WADOOD MUGHAL
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Credential |
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Telephone | 609-394-0660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MA03590700
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License Number State | NJ
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