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General NPI Number Information
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NPI Number | 1316332224
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Entity Type | Organization
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Legal Business Name | MERCER MEDICAL GROUP
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 03/30/2015
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Provider Practice Location Address
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Address Line | 300 CARNEGIE CTR
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City | PRINCETON
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State | NJ
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Zip | 08540-6249
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Country | US
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Telephone | 609-858-7144
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Fax | 609-858-7145
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Provider Business Mailing Address
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Address Line | 300 CARNEGIE CTR
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City | PRINCETON
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State | NJ
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Zip | 08540-6249
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Country | US
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Telephone | 609-858-7144
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Fax | 609-858-7145
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN MILLER
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Credential | M.D.
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Telephone | 609-858-7144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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