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General NPI Number Information
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NPI Number | 1548296643
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Entity Type | Individual
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Provider Name | NEAL E LUPPESCU M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 10 N GASTON AVE
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City | SOMERVILLE
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State | NJ
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Zip | 08876-2434
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Country | US
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Telephone | 908-595-0601
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Fax | 908-595-0604
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Provider Business Mailing Address
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Address Line | 10 N GASTON AVE
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City | SOMERVILLE
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State | NJ
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Zip | 08876-2434
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Country | US
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Telephone | 908-595-0601
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Fax | 908-595-0604
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MA51454
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License Number State | NJ
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