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General NPI Number Information
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NPI Number | 1376598136
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Entity Type | Individual
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Provider Name | YELENA BIRGER MD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 300 CRAIG RD SUITE 208
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City | MANALAPAN
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State | NJ
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Zip | 07726-8742
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Country | US
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Telephone | 732-333-0062
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Fax | 732-333-0004
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Provider Business Mailing Address
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Address Line | 12 WALDEN CT
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-3573
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Country | US
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Telephone | 732-360-0619
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Fax | 732-333-0004
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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 | 207RA0000X
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Taxonomy Name | Adolescent Medicine (Internal Medicine) Physician
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License Number | 226826
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MB07663700
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License Number State | NJ
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