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General NPI Number Information
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NPI Number | 1265968580
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Entity Type | Organization
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Legal Business Name | ENDOCRINOLOGY SPECIALISTS AT MERCER LLC
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Dates
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Enumeration Date | 05/05/2017
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Last Update Date | 05/05/2017
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Provider Practice Location Address
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Address Line | 1542 KUSER RD SUITE B3
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City | HAMILTON
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State | NJ
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Zip | 08619-3829
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Country | US
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Telephone | 609-298-1844
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Fax |
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Provider Business Mailing Address
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Address Line | 1542 KUSER RD SUITE B3
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City | HAMILTON
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State | NJ
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Zip | 08619-3829
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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 | YAN WU
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Credential |
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Telephone | 609-298-1844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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