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General NPI Number Information
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NPI Number | 1538199484
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Entity Type | Organization
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Legal Business Name | BARCLAY MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15 BARCLAY CT
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City | SOMERSET
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State | NJ
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Zip | 08873-4819
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Country | US
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Telephone | 201-838-9740
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Fax | 201-766-6461
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Provider Business Mailing Address
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Address Line | 15 BARCLAY CT
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City | SOMERSET
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State | NJ
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Zip | 08873-4819
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Country | US
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Telephone | 201-838-9740
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Fax | 201-766-6461
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAN R SORIANO
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Credential | MD
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Telephone | 201-838-9740
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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 | 37769
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License Number State | NJ
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