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General NPI Number Information
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NPI Number | 1275692659
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Entity Type | Individual
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Provider Name | EMANUEL LERNER MD
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Gender | Male
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 1 WORLDS FAIR DR ROBERT WOOD JOHNSON UNIVERSITY MEDICAL GROUP - SOMERSET
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City | SOMERSET
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State | NJ
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Zip | 08873-1344
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Country | US
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Telephone | 732-743-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 66 WEST GILBERT ST
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City | RED BANK
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State | NJ
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Zip | 07701
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Country | US
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Telephone | 732-212-0051
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Fax | 732-212-0713
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA05840800
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License Number State | NJ
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