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General NPI Number Information
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NPI Number | 1134148398
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Entity Type | Organization
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Legal Business Name | ORANGE MEDICAL GROUP PA
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 08/06/2010
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Provider Practice Location Address
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Address Line | 310 CENTRAL AVE SUITE 106
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City | EAST ORANGE
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State | NJ
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Zip | 07018-2835
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Country | US
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Telephone | 973-674-4542
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Fax | 973-674-3901
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Provider Business Mailing Address
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Address Line | 310 CENTRAL AVE SUITE 106
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City | EAST ORANGE
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State | NJ
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Zip | 07018-2835
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Country | US
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Telephone | 973-674-4542
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Fax | 973-674-3901
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Authorized Official
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Title or Position | PRIMARY CARE PHYSICIAN
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Name | DR. RAMESH M KANIA
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Credential | M.D
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Telephone | 12014077732
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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 | 25MA04511900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA04159700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MA04457800
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License Number State | NJ
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