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General NPI Number Information
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NPI Number | 1093096604
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Entity Type | Organization
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Legal Business Name | STROKE AND CEREBROVASCULAR CENTER OF NEW JERSEY
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 09/09/2011
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Provider Practice Location Address
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Address Line | 1401 WHITEHORSE MERCERVILLE RD SUITE 212
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City | HAMILTON
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State | NJ
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Zip | 08619-3835
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Country | US
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Telephone | 609-588-5081
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Fax | 609-588-5086
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Provider Business Mailing Address
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Address Line | 1401 WHITEHORSE MERCERVILLE RD SUITE 212
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City | HAMILTON
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State | NJ
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Zip | 08619-3835
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Country | US
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Telephone | 609-588-5081
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Fax | 609-588-5086
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Authorized Official
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Title or Position | NEURSURGERY CHAIRMAN
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Name | DR. EROL VEZNEDAROGLU
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Credential | M.D.
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Telephone | 609-588-5081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26NJ00331200
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License Number State | NJ
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