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General NPI Number Information
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NPI Number | 1366471203
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Entity Type | Organization
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Legal Business Name | MERCER MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 09/26/2007
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Provider Practice Location Address
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Address Line | 40 FULD STREET SUITE 401
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City | TRENTON
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State | NJ
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Zip | 08638
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Country | US
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Telephone | 609-599-1004
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Fax | 609-599-3611
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Provider Business Mailing Address
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Address Line | 40 FULD STREET SUITE 401
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City | TRENTON
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State | NJ
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Zip | 08638
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Country | US
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Telephone | 609-599-1004
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Fax | 609-599-3611
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARRY H COHEN
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Credential | MD
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Telephone | 609-599-1004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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