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General NPI Number Information
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NPI Number | 1588437990
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Entity Type | Organization
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Legal Business Name | ST CLARES PEDIATRIC HOSPITALISTS
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 25 POCONO RD
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City | DENVILLE
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State | NJ
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Zip | 07834-2954
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Country | US
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Telephone | 973-625-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 2 LAUREL DR
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City | LONG VALLEY
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State | NJ
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Zip | 07853-3518
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Country | US
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Telephone | 551-206-9305
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. RICHARD ELEPANO
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Credential | DO
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Telephone | 551-206-9305
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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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