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General NPI Number Information
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NPI Number | 1295808236
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Entity Type | Individual
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Provider Name | AUDREY ESTELLE MARS MD
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Gender | Female
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 190 ROUTE 31 STE 500
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City | FLEMINGTON
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State | NJ
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Zip | 08822-5763
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Country | US
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Telephone | 908-788-6500
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Fax | 908-788-2578
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Provider Business Mailing Address
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Address Line | 190 ROUTE 31 STE 500
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City | FLEMINGTON
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State | NJ
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Zip | 08822-5763
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Country | US
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Telephone | 908-788-6500
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Fax | 908-788-2578
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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 | 049149L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 25MA6377500
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA6377500
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License Number State | NJ
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