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General NPI Number Information
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NPI Number | 1346516572
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Entity Type | Organization
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Legal Business Name | SILVER CONTINENCE CARE NJ, LLC
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 10000 LINCOLN DR E SUITE 201
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City | MARLTON
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State | NJ
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Zip | 08053-3105
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Country | US
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Telephone | 888-848-7437
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Fax | 888-215-7042
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Provider Business Mailing Address
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Address Line | 1001 HAWKINS ST
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City | NASHVILLE
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State | TN
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Zip | 37203-4758
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Country | US
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Telephone | 888-848-7437
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Fax | 888-215-7042
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Authorized Official
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Title or Position | CFO
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Name | ROB PANTOJA
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Credential |
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Telephone | 888-848-7437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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