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General NPI Number Information
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NPI Number | 1437324928
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Entity Type | Organization
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Legal Business Name | NEW JERSEY IME ASSOCIATES, LLC
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 979 N BLACK HORSE PIKE
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City | WILLIAMSTOWN
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State | NJ
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Zip | 08094-1044
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Country | US
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Telephone | 856-629-5151
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Fax | 856-629-0281
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Provider Business Mailing Address
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Address Line | 280 HAWTHORNE AVE
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City | HADDONFIELD
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State | NJ
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Zip | 08033-1404
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Country | US
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Telephone | 856-429-7383
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Fax | 856-429-7383
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANCIS C MEETEER
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Credential | D.O.
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Telephone | 856-429-7383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | MB53375
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License Number State | NJ
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