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General NPI Number Information
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NPI Number | 1306889084
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN PEDIATRIC & ADULT UROLOGY,PA
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 282 ROUTE 46
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City | DENVILLE
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State | NJ
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Zip | 07834
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Country | US
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Telephone | 973-627-4055
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Fax | 973-627-0750
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Provider Business Mailing Address
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Address Line | 282 ROUTE 46 PO BOX 1160
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City | DENVILLE
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State | NJ
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Zip | 07834
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Country | US
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Telephone | 973-627-4055
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Fax | 973-627-0750
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NANCY GEBHART
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Credential | RN
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Telephone | 973-627-4055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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