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General NPI Number Information
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NPI Number | 1497798581
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Entity Type | Individual
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Provider Name | MARIA AULETTA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 04/25/2012
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Provider Practice Location Address
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Address Line | 23 25 S. MAIN ST. SUITE 2
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City | MANVILLE
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State | NJ
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Zip | 08835
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Country | US
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Telephone | 908-243-0088
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Fax | 908-243-0089
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Provider Business Mailing Address
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Address Line | 23 25 S. MAIN ST. SUITE 2
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City | MANVILLE
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State | NJ
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Zip | 08835
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Country | US
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Telephone | 908-243-0088
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Fax | 908-243-0089
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MA04155600
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License Number State | NJ
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