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General NPI Number Information
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NPI Number | 1306865613
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Entity Type | Individual
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Provider Name | DAVID D. PICASCIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 77 SCHANCK RD SUITE B-3
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City | FREEHOLD
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State | NJ
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Zip | 07728-2964
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Country | US
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Telephone | 732-462-9800
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Fax | 732-308-1647
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Provider Business Mailing Address
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Address Line | 7 RAINTREE CT
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City | HOLMDEL
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State | NJ
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Zip | 07733-2814
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Country | US
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Telephone | 732-842-0242
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Fax |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MA51607
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License Number State | NJ
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