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General NPI Number Information
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NPI Number | 1477537769
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Entity Type | Individual
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Provider Name | IVAN LENDVAI MD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 03/21/2013
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Provider Practice Location Address
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Address Line | 4326 US ROUTE 1 N
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City | MONMOUTH JUNCTION
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State | NJ
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Zip | 08852
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Country | US
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Telephone | 732-235-5910
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Fax | 732-235-5644
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Provider Business Mailing Address
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Address Line | 671 HOES LN W
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City | PISCATAWAY
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State | NJ
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Zip | 08854-8021
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Country | US
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Telephone | 732-235-3289
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Fax | 732-235-4485
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 200070
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA06141800
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License Number State | NJ
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