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General NPI Number Information
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NPI Number | 1528172111
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Entity Type | Organization
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Legal Business Name | UNIVERSITY GERIATRICS & INTERNAL MEDICINE ASSOCIATES,LLC
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 01/09/2013
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Provider Practice Location Address
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Address Line | 1553 STATE ROUTE 27 SUITE # 3300
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City | SOMERSET
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State | NJ
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Zip | 08873-3980
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Country | US
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Telephone | 732-418-0589
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Fax | 732-418-9428
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Provider Business Mailing Address
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Address Line | 1553 STATE ROUTE 27 SUITE # 3300
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City | SOMERSET
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State | NJ
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Zip | 08873-3980
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Country | US
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Telephone | 732-418-0589
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Fax | 732-418-9428
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Authorized Official
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Title or Position | BUSINESS ADVISOR
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Name | MR. ANDY DESHPANDE
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Credential |
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Telephone | 732-246-2313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA5775400
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License Number State | NJ
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