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General NPI Number Information
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NPI Number | 1205213824
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Entity Type | Organization
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Legal Business Name | INSPIRA MEDICAL CENTER WOODBURY
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Dates
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Enumeration Date | 05/04/2015
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Last Update Date | 05/04/2015
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Provider Practice Location Address
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Address Line | 509 N BROAD ST DOWNS BUILDING, SECOND FLOOR
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City | WOODBURY
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State | NJ
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Zip | 08096-1617
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Country | US
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Telephone | 856-686-5632
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Fax | 856-686-5119
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Provider Business Mailing Address
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Address Line | 509 N BROAD ST DOWNS BUILDING, SECOND FLOOR
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City | WOODBURY
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State | NJ
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Zip | 08096-1617
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Country | US
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Telephone | 856-686-5632
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Fax | 856-686-5119
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. HARRY MADISON
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Credential | D.O.
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Telephone | 856-845-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 44SC05607300
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License Number State | NJ
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