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General NPI Number Information
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NPI Number | 1558585497
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Entity Type | Individual
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Provider Name | KEVIN LAW M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 01/31/2011
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Provider Practice Location Address
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Address Line | 2312 WHITEHORSE MERCERVILLE RD SUITE 105
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City | TRENTON
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State | NJ
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Zip | 08619-1953
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Country | US
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Telephone | 608-586-7400
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Fax | 609-586-7656
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Provider Business Mailing Address
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Address Line | PO BOX 6481
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-0481
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Country | US
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Telephone | 609-586-7400
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Fax | 609-586-7656
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MA062504
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License Number State | NJ
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