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General NPI Number Information
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NPI Number | 1104929439
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Entity Type | Organization
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Legal Business Name | JAMES M. MADDEN, MD, PA
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 400 E BAY AVE
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City | MANAHAWKIN
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State | NJ
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Zip | 08050
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Country | US
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Telephone | 609-978-7200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 430
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City | MANAHAWKIN
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State | NJ
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Zip | 08050-0430
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Country | US
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Telephone | 609-978-7200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES M. MADDEN
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Credential | M.D.
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Telephone | 609-978-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | MA58711
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License Number State | NJ
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