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General NPI Number Information
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NPI Number | 1144548108
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Entity Type | Organization
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Legal Business Name | MICHELLE PAPKA, PH.D. L.L.C.
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Dates
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Enumeration Date | 05/14/2010
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Last Update Date | 05/14/2010
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Provider Practice Location Address
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Address Line | 99 BEAUVOIR AVE OVERLOOK HOSPITAL, BOX 271
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City | SUMMIT
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State | NJ
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Zip | 07901-3533
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Country | US
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Telephone | 908-322-5500
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Fax | 908-322-7822
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Provider Business Mailing Address
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Address Line | 8 DEBRA CT
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City | SCOTCH PLAINS
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State | NJ
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Zip | 07076-2827
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Country | US
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Telephone | 908-322-5500
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Fax | 908-322-7822
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHELLE PAPKA
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Credential | PH.D.
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Telephone | 908-322-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | SI03813
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License Number State | NJ
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