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General NPI Number Information
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NPI Number | 1134538515
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Entity Type | Organization
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Legal Business Name | JML FAMILY MEDICINE, LLC
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Dates
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Enumeration Date | 08/10/2014
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Last Update Date | 08/10/2014
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Provider Practice Location Address
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Address Line | 4255 US HIGHWAY 9 SUITE B
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City | FREEHOLD
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State | NJ
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Zip | 07728-8305
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Country | US
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Telephone | 732-683-9895
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6579
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City | FREEHOLD
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State | NJ
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Zip | 07728-6579
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SARA LEONARD
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Credential | M.D.
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Telephone | 201-679-1947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA09193900
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License Number State | NJ
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