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General NPI Number Information
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NPI Number | 1184620510
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Entity Type | Individual
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Provider Name | S. THOMAS WESTERMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 170 AVENUE AT THE CMN STE 6
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4568
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Country | US
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Telephone | 732-460-0045
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Fax | 732-460-0068
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Provider Business Mailing Address
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Address Line | 170 AVENUE AT THE CMN STE 6
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4568
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Country | US
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Telephone | 732-460-0045
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Fax | 732-460-0068
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA01853000
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License Number State | NJ
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