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General NPI Number Information
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NPI Number | 1245209642
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Entity Type | Individual
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Provider Name | JOSEPH MORANDI D.O
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Gender | Male
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 11/05/2017
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Provider Practice Location Address
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Address Line | 665 MARTINSVILLE RD SUITE 218
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City | BASKING RIDGE
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State | NJ
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Zip | 07920-4700
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Country | US
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Telephone | 908-607-1877
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Fax | 908-607-1866
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Provider Business Mailing Address
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Address Line | LB# 7550 PO BOX 95000
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City | PHILADELPHIA
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State | PA
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Zip | 19195-7550
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Country | US
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Telephone | 844-362-1735
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Fax | 973-290-7495
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MB06256400
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License Number State | NJ
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