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General NPI Number Information
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NPI Number | 1558641126
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Entity Type | Organization
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Legal Business Name | PRINCETON PROCURE MANAGEMENT, LLC
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Dates
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Enumeration Date | 08/26/2011
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Last Update Date | 10/06/2020
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Provider Practice Location Address
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Address Line | 103 CEDAR GROVE LN
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City | SOMERSET
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State | NJ
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Zip | 08873-4717
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Country | US
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Telephone | 732-357-2600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 872658
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City | KANSAS CITY
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State | MO
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Zip | 64187-2658
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Country | US
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Telephone | 732-357-2600
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | HSIN-CHIEH WANG
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Credential |
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Telephone | 732-357-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 25MA08585400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number |
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License Number State |
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