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General NPI Number Information
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NPI Number | 1437369717
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Entity Type | Organization
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Legal Business Name | JANET A ROBERTSON MD PA
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/16/2010
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Provider Practice Location Address
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Address Line | 169 MINE BROOK RD
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City | BERNARDSVILLE
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State | NJ
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Zip | 07924-2109
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Country | US
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Telephone | 908-766-6110
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Fax | 908-766-0569
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Provider Business Mailing Address
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Address Line | 169 MINE BROOK RD
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City | BERNARDSVILLE
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State | NJ
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Zip | 07924-2125
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Country | US
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Telephone | 908-766-6110
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Fax | 908-766-0569
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JANET A ROBERTSON
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Credential | M.D.
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Telephone | 908-766-6110
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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 | 25MA04897400
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License Number State | NJ
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