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General NPI Number Information
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NPI Number | 1346479649
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Entity Type | Individual
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Provider Name | ANN BARON MD
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Gender | Female
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Dates
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Enumeration Date | 07/08/2009
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Last Update Date | 03/07/2011
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Provider Practice Location Address
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Address Line | 163 ENGLE ST BUILDING #2
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2535
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Country | US
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Telephone | 908-334-7069
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Fax |
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Provider Business Mailing Address
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Address Line | 79 JOHN PL
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City | BERGENFIELD
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State | NJ
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Zip | 07621-3325
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Country | US
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Telephone | 908-334-7069
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA08606100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 252020
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License Number State | NY
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