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General NPI Number Information
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NPI Number | 1487682654
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Entity Type | Individual
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Provider Name | JAMES J MAUTI MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 406 MILLTOWN RD
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-2445
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Country | US
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Telephone | 973-921-1777
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Fax | 973-921-1790
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Provider Business Mailing Address
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Address Line | 406 MILLTOWN RD
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-2445
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Country | US
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Telephone | 973-921-1777
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Fax | 973-921-1790
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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 | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) Physician
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License Number | MA07612800
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License Number State | NJ
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