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General NPI Number Information
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NPI Number | 1215359252
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Entity Type | Individual
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Provider Name | JOJY CHERIYAN M.D., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 01/10/2014
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Last Update Date | 01/10/2014
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Provider Practice Location Address
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Address Line | 101 BIRCH AVE
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City | BERGENFIELD
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State | NJ
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Zip | 07621-1504
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Country | US
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Telephone | 201-203-6336
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Fax |
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Provider Business Mailing Address
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Address Line | 101 BIRCH AVE
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City | BERGENFIELD
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State | NJ
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Zip | 07621-1504
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Country | US
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Telephone | 201-203-6336
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 174V00000X
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Taxonomy Name | Clinical Ethicist
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License Number |
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License Number State |
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