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General NPI Number Information
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NPI Number | 1326355645
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Entity Type | Organization
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Legal Business Name | ROCKAWAY ANIMAL CLINIC
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Dates
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Enumeration Date | 09/08/2010
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Last Update Date | 09/08/2010
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Provider Practice Location Address
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Address Line | 328 US HIGHWAY 46
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City | ROCKAWAY
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State | NJ
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Zip | 07866-3836
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Country | US
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Telephone | 973-627-0789
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Fax |
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Provider Business Mailing Address
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Address Line | 328 ROUTE 46
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City | ROCKAWAY
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State | NJ
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Zip | 07866-3836
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Country | US
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Telephone | 973-627-0789
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Fax | 973-627-0897
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ARTHUR BAEDER III
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Credential | DVM
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Telephone | 973-627-0789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | 29V100157500
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License Number State | NJ
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