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General NPI Number Information
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NPI Number | 1184673386
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Entity Type | Organization
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Legal Business Name | DENVILLE ASSOCIATES OF INTERNAL MEDICINE PA
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 01/14/2015
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Provider Practice Location Address
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Address Line | 16 POCONO ROAD SUITE 317
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City | DENVILLE
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State | NJ
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Zip | 07834
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Country | US
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Telephone | 973-627-2650
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Fax | 973-627-8383
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Provider Business Mailing Address
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Address Line | 16 POCONO ROAD SUITE 317
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City | DENVILLE
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State | NJ
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Zip | 07834
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Country | US
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Telephone | 973-627-2650
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Fax | 973-627-8383
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | MISS CLAIRE A SEMBLER
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Credential |
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Telephone | 973-627-2654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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