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General NPI Number Information
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NPI Number | 1164709143
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Entity Type | Organization
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Legal Business Name | JOHN LITZ JR. M.D. PA
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 11/04/2011
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Provider Practice Location Address
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Address Line | 411 KINGS HWY S
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City | CHERRY HILL
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State | NJ
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Zip | 08034-2512
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Country | US
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Telephone | 856-429-2441
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Fax | 856-429-0331
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Provider Business Mailing Address
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Address Line | 411 KINGS HWY S
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City | CHERRY HILL
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State | NJ
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Zip | 08034-2512
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Country | US
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Telephone | 856-429-2441
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Fax | 856-429-0331
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN LITZ JR.
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Credential | M.D.
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Telephone | 856-429-2441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MA49176
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License Number State | NJ
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