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General NPI Number Information
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NPI Number | 1568860054
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Entity Type | Organization
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Legal Business Name | PRIMARY CARE PARTNERS, LLC
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Dates
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Enumeration Date | 12/15/2014
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Last Update Date | 12/15/2014
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Provider Practice Location Address
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Address Line | 29 COLUMBIA TPKE SUITE 201
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-2240
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Country | US
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Telephone | 973-410-0422
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Fax | 973-410-1057
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Provider Business Mailing Address
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Address Line | PO BOX 2403
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City | VOORHEES
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State | NJ
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Zip | 08043-6403
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Country | US
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Telephone | 856-782-3300
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Fax | 856-504-8029
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID J SHULKIN
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Credential | MD
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Telephone | 856-782-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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