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General NPI Number Information
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NPI Number | 1144381567
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Entity Type | Organization
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Legal Business Name | ALATAE MEDICAL LLC
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 390 AMWELL RD BLDG 5 SUITE 501
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-1248
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Country | US
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Telephone | 908-281-1077
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Fax | 908-281-1081
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Provider Business Mailing Address
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Address Line | 390 AMWELL RD BLDG 5 SUITE 501
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-1248
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Country | US
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Telephone | 908-281-1077
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Fax | 908-281-1081
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Authorized Official
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Title or Position | PRESIDENT
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Name | NANCY E ALLEGAR
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Credential | MD
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Telephone | 908-281-1077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA05520800
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License Number State | NJ
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