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General NPI Number Information
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NPI Number | 1396960092
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Entity Type | Organization
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Legal Business Name | JAMES S MCCAUGHAN MD PA
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 55 SCHANCK RD SUITE A-20
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City | FREEHOLD
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State | NJ
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Zip | 07728-2964
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Country | US
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Telephone | 732-577-8558
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Fax | 732-577-8553
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Provider Business Mailing Address
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Address Line | 55 SCHANCK RD SUITE A-20
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City | FREEHOLD
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State | NJ
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Zip | 07728-2964
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Country | US
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Telephone | 732-577-8558
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Fax | 732-577-8553
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES S MCCAUGHAN
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Credential | MD
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Telephone | 732-577-8558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25MA08195100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 25MA08195100
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License Number State | NJ
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