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General NPI Number Information
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NPI Number | 1376686683
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Entity Type | Organization
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Legal Business Name | JOANNA L. PARTRIDGE MD PC
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 11/02/2007
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Provider Practice Location Address
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Address Line | 213 N CENTER DR
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City | NORTH BRUNSWICK
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State | NJ
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Zip | 08902-4246
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Country | US
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Telephone | 609-918-1973
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 127
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City | PRINCETON JUNCTION
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State | NJ
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Zip | 08550-0127
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Country | US
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Telephone | 609-918-1973
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOANNA L PARTRIDGE
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Credential | M.D.
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Telephone | 609-918-1973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State | NJ
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