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General NPI Number Information
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NPI Number | 1316912629
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Entity Type | Individual
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Provider Name | GENER MARANAN DAPUL M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 901 W MAIN ST
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City | FREEHOLD
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State | NJ
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Zip | 07728-2537
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Country | US
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Telephone | 732-294-4911
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Fax | 732-294-4942
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Provider Business Mailing Address
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Address Line | 1 CANBY DR
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City | COLTS NECK
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State | NJ
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Zip | 07722-1491
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Country | US
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Telephone | 732-577-1683
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Fax | 732-577-0858
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | MA040284
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License Number State | NJ
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