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General NPI Number Information
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NPI Number | 1104092550
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Entity Type | Organization
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Legal Business Name | FRANK M. SHANLEY, P.A.
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 124 E MAIN ST SUITE 106
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City | DENVILLE
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State | NJ
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Zip | 07834-2100
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Country | US
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Telephone | 973-627-6901
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Fax |
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Provider Business Mailing Address
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Address Line | 124 E MAIN ST SUITE 106
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City | DENVILLE
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State | NJ
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Zip | 07834-2100
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Country | US
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Telephone | 973-627-6901
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ROSEMARY SHANLEY
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Credential |
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Telephone | 973-627-6901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MB035868
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License Number State | NJ
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