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General NPI Number Information
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NPI Number | 1083234686
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Entity Type | Organization
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Legal Business Name | RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 04/23/2020
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Provider Practice Location Address
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Address Line | 604 ALLISON RD
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City | PISCATAWAY
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State | NJ
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Zip | 08854-8000
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Country | US
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Telephone | 732-445-1498
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Fax |
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Provider Business Mailing Address
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Address Line | 145 BEVIER ROAD - LSB/HUMAN GENETICS INSTITUTE OF NJ
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City | PISCATAWAY
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State | NJ
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Zip | 08854-8009
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Country | US
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Telephone | 732-208-7582
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Fax |
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Authorized Official
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Title or Position | SENIOR FINANCE MANAGER
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Name | ELGA C. HOWELL
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Credential | MBA
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Telephone | 848-445-2008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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