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General NPI Number Information
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NPI Number | 1184844862
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Entity Type | Organization
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Legal Business Name | MERCER PATHOLOGY ASSOCIATES, PA
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 750 BRUNSWICK AVE DEPARTMENT OF PATHOLOGY
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City | TRENTON
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State | NJ
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Zip | 08638-4143
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Country | US
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Telephone | 609-394-6095
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Fax |
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Provider Business Mailing Address
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Address Line | 446 BELLEVUE AVE DEPARTMENT OF PATHOLOGY
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City | TRENTON
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State | NJ
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Zip | 08618-4502
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. ELLEN FOX
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Credential |
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Telephone | 609-394-4019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 00007432
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License Number State | NJ
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