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General NPI Number Information
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NPI Number | 1114300175
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Entity Type | Organization
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Legal Business Name | COUNTY OF MERCER
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 07/08/2015
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Provider Practice Location Address
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Address Line | 300 SCOTCH RD BLDG 1
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City | EWING
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State | NJ
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Zip | 08628-1301
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Country | US
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Telephone | 609-530-1970
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Fax | 609-530-7517
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Provider Business Mailing Address
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Address Line | 300 SCOTCH RD BLDG 1
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City | EWING
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State | NJ
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Zip | 08628-1301
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Country | US
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Telephone | 609-530-1970
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Fax | 609-530-7517
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. MARTIN J DENERO
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Credential |
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Telephone | 609-530-1970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State |
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