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General NPI Number Information
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NPI Number | 1154723575
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Entity Type | Organization
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Legal Business Name | NORTHERN CENTER FOR PLASTIC SURGERY
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Dates
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Enumeration Date | 09/17/2014
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 700 E PALISADE AVE FIRST FLOOR
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-3058
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Country | US
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Telephone | 201-820-5280
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Fax | 201-608-5756
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Provider Business Mailing Address
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Address Line | 700 E PALISADE AVE FIRST FLOOR
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-3058
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Country | US
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Telephone | 201-820-5280
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Fax | 201-608-5756
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Authorized Official
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Title or Position | OWNER
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Name | DR. AARON M CAPUANO
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Credential | MD
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Telephone | 201-820-5280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 25MA09037700
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License Number State | NJ
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