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General NPI Number Information
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NPI Number | 1184063919
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Entity Type | Organization
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Legal Business Name | MERCER BUCKS ENDOCRINOLOGY PC
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Dates
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Enumeration Date | 06/14/2013
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Last Update Date | 07/22/2013
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Provider Practice Location Address
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Address Line | 2 CAPITAL WAY SUITE 315
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City | PENNINGTON
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State | NJ
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Zip | 08534-2521
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Country | US
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Telephone | 732-668-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 2 CAPITAL WAY SUITE 315
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City | PENNINGTON
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State | NJ
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Zip | 08534-2521
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Country | US
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Telephone | 732-668-2000
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. SUDEEP S DHILLON
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Credential | MD
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Telephone | 732-668-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 25MA08756500
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License Number State | NJ
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