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General NPI Number Information
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NPI Number | 1417934597
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Entity Type | Individual
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Provider Name | GERALD NOVIK M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 02/19/2009
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Provider Practice Location Address
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Address Line | 1235 WHITEHORSE MERCERVILLE RD STE. 316 BLDG C
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City | MERCERVILLE
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State | NJ
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Zip | 08619-3810
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Country | US
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Telephone | 609-581-5586
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Fax | 609-581-5779
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Provider Business Mailing Address
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Address Line | 5 PETER RAFFERTY DR
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City | TRENTON
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State | NJ
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Zip | 08690-1817
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Country | US
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Telephone | 609-586-9141
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Fax |
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | MA46699
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License Number State | NJ
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