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NPI 1477605954

NPI 1477605954 : SOMERSET FAMILY PLANNING SERVICES INC : SOMERVILLE, NJ

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General NPI Number Information
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    NPI Number           |    1477605954
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOMERSET FAMILY PLANNING SERVICES INC 
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Dates
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    Enumeration Date     |    01/17/2007
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    Last Update Date     |    07/29/2008
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Provider Practice Location Address
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    Address Line         |    71 4TH ST 
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    City                 |    SOMERVILLE
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    State                |    NJ
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    Zip                  |    08876-3235
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    Country              |    US
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    Telephone            |    908-526-2335
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    Fax                  |    908-725-7274
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Provider Business Mailing Address
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    Address Line         |    71 4TH STREET 
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    City                 |    SOMERVILLE
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    State                |    NJ
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    Zip                  |    08876-3235
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    Country              |    US
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    Telephone            |    908-526-2335
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    Fax                  |    908-725-7274
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Authorized Official
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    Title or Position    |    DATA MANAGER/MES SUPPORTS
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    Name                 |    MS. DENISE B FALLON 
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    Credential           |    
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    Telephone            |    908-526-2335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    MA63548
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    License Number State |    NJ
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