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General NPI Number Information
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NPI Number | 1366510851
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Entity Type | Organization
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Legal Business Name | CAPITAL HEALTH SYSTEMS
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 1401 WHITEHORSE MERCERVILLE RD INSTIUTE FOR NEUROSCIENCE
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City | MERCERVILLE
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State | NJ
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Zip | 08619-3817
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Country | US
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Telephone | 609-528-8888
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Fax | 609-584-5151
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Provider Business Mailing Address
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Address Line | 1401 WHITEHORSE MERCERVILLE RD INSTIUTE FOR NEUROSCIENCE
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City | MERCERVILLE
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State | NJ
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Zip | 08619-3817
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Country | US
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Telephone | 609-528-8888
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Fax | 609-584-5151
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. RONALD H GONZALEZ
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Credential | MD
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Telephone | 609-528-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA50235
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License Number State | NJ
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