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General NPI Number Information
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NPI Number | 1306871314
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Entity Type | Organization
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Legal Business Name | SOUTH JERSEY HEALTH SYSTEM EMERGENCY PHYSICIAN SERVICES P A
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 03/02/2017
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Provider Practice Location Address
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Address Line | 501 FRONT ST
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City | ELMER
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State | NJ
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Zip | 08318-2101
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Country | US
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Telephone | 856-363-1000
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Fax | 856-358-2528
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Provider Business Mailing Address
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Address Line | 307 S EVERGREEN AVE
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City | WOODBURY
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State | NJ
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Zip | 08096-2739
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Country | US
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Telephone | 856-686-4316
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Fax | 865-291-3254
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Authorized Official
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Title or Position | ER DEPT DIRECTOR
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Name | WILLIAM DI CINDIO
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Credential | DO
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Telephone | 856-969-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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