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General NPI Number Information
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NPI Number | 1356398036
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Entity Type | Organization
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Legal Business Name | VOORHEES FAMILY PRACTICE ASSOCIATES, P.C.
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 102 WHITE HORSE RD W SUITE 102
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City | VOORHEES
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State | NJ
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Zip | 08043-3610
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Country | US
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Telephone | 856-783-6200
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Fax | 856-783-8434
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Provider Business Mailing Address
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Address Line | 102 WHITE HORSE RD W SUITE 102
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City | VOORHEES
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State | NJ
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Zip | 08043-3610
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Country | US
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Telephone | 856-783-6200
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Fax | 856-783-8434
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK R LEONE
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Credential | D.O.
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Telephone | 856-783-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MB51474
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License Number State | NJ
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