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General NPI Number Information
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NPI Number | 1144513714
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Entity Type | Organization
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Legal Business Name | ROTHMAN INSTITUTE OF NEW JERSEY, P.A.
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 04/10/2013
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Provider Practice Location Address
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Address Line | 327 GREENTREE RD
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City | SEWELL
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State | NJ
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Zip | 08080-9229
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Country | US
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Telephone | 856-286-4224
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Fax | 856-286-4269
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Provider Business Mailing Address
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Address Line | 327 GREENTREE RD
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City | SEWELL
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State | NJ
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Zip | 08080-9229
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Country | US
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Telephone | 856-286-4224
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Fax | 856-286-4269
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL EVERETT WEST
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Credential |
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Telephone | 267-339-3680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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