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General NPI Number Information
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NPI Number | 1548287568
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Entity Type | Organization
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Legal Business Name | RICHARD D GORDON, M.D., P.A.
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 12/07/2009
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Provider Practice Location Address
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Address Line | 2121 KLOCKNER RD
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City | HAMILTON
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State | NJ
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Zip | 08690-3417
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Country | US
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Telephone | 609-587-9898
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Fax | 609-584-1774
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Provider Business Mailing Address
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Address Line | 2121 KLOCKNER RD
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City | HAMILTON
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State | NJ
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Zip | 08690-3417
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Country | US
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Telephone | 609-587-9898
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Fax | 609-584-1774
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | JUDITH S GORDON
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Credential |
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Telephone | 609-587-9898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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