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General NPI Number Information
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NPI Number | 1255584405
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Entity Type | Organization
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Legal Business Name | MEDICAL ASSOCIATES OF ESSEX COUNTY
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Dates
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Enumeration Date | 11/01/2008
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Last Update Date | 11/01/2008
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Provider Practice Location Address
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Address Line | 65 E NORTHFIELD RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4231
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Country | US
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Telephone | 973-992-8141
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Fax |
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Provider Business Mailing Address
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Address Line | 9 RAINBOW RIDGE DR
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City | LIVINGSTON
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State | NJ
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Zip | 07039-1126
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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 | OWNER
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Name | NITA MODI
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Credential |
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Telephone | 973-740-9871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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