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General NPI Number Information
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NPI Number | 1568418010
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Entity Type | Organization
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Legal Business Name | ARTHRITIS MANAGEMENT, L.L.C
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 04/29/2011
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Provider Practice Location Address
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Address Line | 5 FRANKLIN AVE SUITE 403
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City | BELLEVILLE
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State | NJ
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Zip | 07109-3532
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Country | US
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Telephone | 973-844-0049
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Fax | 973-751-9955
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Provider Business Mailing Address
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Address Line | 5 FRANKLIN AVE SUITE 403
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City | BELLEVILLE
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State | NJ
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Zip | 07109-3532
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Country | US
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Telephone | 973-844-0049
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Fax | 973-751-9955
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Authorized Official
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Title or Position | DR
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Name | DR. RITA KOMBOZ
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Credential | M D
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Telephone | 973-844-0049
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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 | MA65810
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License Number State | NJ
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