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General NPI Number Information
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NPI Number | 1407887508
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Entity Type | Organization
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Legal Business Name | CAPITAL HEALTH SYSTEM
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 08/03/2010
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Provider Practice Location Address
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Address Line | 1230 PARKWAY AVE SUITE 203
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City | WEST TRENTON
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State | NJ
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Zip | 08628
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Country | US
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Telephone | 609-883-5454
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Fax | 609-883-2565
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Provider Business Mailing Address
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Address Line | P.O. BOX 784976
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City | PHILADELPHIA
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State | PA
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Zip | 19178-4976
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Country | US
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Telephone | 609-815-7810
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Fax | 609-815-7814
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Authorized Official
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Title or Position | VP AMBULATORY SERVICES DIVISION
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Name | MR. NATHAN BOSK
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Credential |
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Telephone | 609-278-5438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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