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General NPI Number Information
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NPI Number | 1285803379
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE PRACTICE OF HUNTERDON COUNTY, LLC
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 1100 WESCOTT DR SUITE G2
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City | FLEMINGTON
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State | NJ
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Zip | 08822-4600
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Country | US
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Telephone | 908-806-6275
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Fax | 908-806-2891
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Provider Business Mailing Address
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Address Line | 55 MILESTONE DR
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City | RINGOES
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State | NJ
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Zip | 08551-2054
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Country | US
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Telephone | 908-806-6275
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Fax | 908-806-2891
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. AMITA SAXENA
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Credential | M.D.
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Telephone | 908-806-6275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | MA074792
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License Number State | NJ
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