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General NPI Number Information
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NPI Number | 1538152905
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Entity Type | Individual
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Provider Name | FRANCESCO P PAGANO D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 06/18/2010
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Provider Practice Location Address
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Address Line | 299 MARKET ST
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City | SADDLE BROOK
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State | NJ
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Zip | 07663-5316
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Country | US
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Telephone | 201-368-1717
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Fax | 201-368-9618
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Provider Business Mailing Address
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Address Line | 108 CHESHIRE LN
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City | RINGWOOD
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State | NJ
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Zip | 07456-2743
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Country | US
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Telephone | 973-556-5464
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Fax | 201-368-9618
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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 | MB048581
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License Number State | NJ
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