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General NPI Number Information
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NPI Number | 1104864487
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Entity Type | Individual
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Provider Name | JEFFREY S UNGER MD
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 01/09/2009
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Provider Practice Location Address
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Address Line | 286 E MAIN ST
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City | SOMERVILLE
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State | NJ
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Zip | 08876-3006
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Country | US
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Telephone | 908-223-1199
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Fax | 908-231-1612
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Provider Business Mailing Address
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Address Line | 4 GREEN MOUNTAIN DR
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City | BASKING RIDGE
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State | NJ
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Zip | 07920-2987
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Country | US
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Telephone | 908-306-3006
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Fax | 908-231-1612
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MA70901
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License Number State | NJ
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