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General NPI Number Information
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NPI Number | 1437552049
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Entity Type | Organization
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Legal Business Name | ATLANTIC HEALTH SYSTEM INC.
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Dates
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Enumeration Date | 09/27/2014
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Last Update Date | 09/27/2014
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Provider Practice Location Address
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Address Line | 319 PITNEY PL
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6195
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Country | US
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Telephone | 508-237-6153
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Fax |
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Provider Business Mailing Address
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Address Line | 319 PITNEY PL
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6195
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTAL DIRECTOR
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Name | ELIZABETH CLEMENTE
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Credential | D.D.S.
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Telephone | 973-971-4114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 22DI02585500
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License Number State | NJ
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