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General NPI Number Information
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NPI Number | 1518974252
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Entity Type | Organization
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Legal Business Name | CHILD HEALTH ASSOCIATES PA
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 05/31/2011
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Provider Practice Location Address
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Address Line | 666 PLAINSBORO RD SUITE 1300
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City | PLAINSBORO
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State | NJ
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Zip | 08536-3030
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Country | US
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Telephone | 609-750-1521
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Fax | 609-750-1523
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Provider Business Mailing Address
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Address Line | 666 PLAINSBORO RD SUITE 1300
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City | PLAINSBORO
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State | NJ
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Zip | 08536-3030
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Country | US
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Telephone | 609-750-1521
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Fax | 609-750-1523
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. ESME DAYARATNA
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Credential |
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Telephone | 609-750-1521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA065150
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License Number State | NJ
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