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General NPI Number Information
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NPI Number | 1205998770
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Entity Type | Organization
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Legal Business Name | SUNSET ROAD MEDICAL ASSOC PA
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 911 SUNSET RD
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City | BURLINGTON
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State | NJ
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Zip | 08016-2250
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Country | US
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Telephone | 609-387-8787
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Fax | 609-386-8640
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Provider Business Mailing Address
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Address Line | 911 SUNSET RD
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City | BURLINGTON
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State | NJ
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Zip | 08016-2250
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Country | US
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Telephone | 609-387-8787
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Fax | 609-386-8640
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALBERT A TALONE
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Credential | DO
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Telephone | 609-387-8787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | NJ
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