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General NPI Number Information
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NPI Number | 1407914633
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Entity Type | Individual
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Provider Name | NELSON L. TURCIOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 12/22/2010
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Provider Practice Location Address
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Address Line | 579 CRANBURY RD STE A
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5405
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Country | US
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Telephone | 908-526-5212
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Fax | 908-526-5477
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Provider Business Mailing Address
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Address Line | 282 E MAIN ST
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City | SOMERVILLE
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State | NJ
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Zip | 08876-3006
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Country | US
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Telephone | 908-526-5212
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Fax | 908-526-5477
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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 | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | 25MA04435400
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License Number State | NJ
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