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General NPI Number Information
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NPI Number | 1588819072
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Entity Type | Organization
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Legal Business Name | JOSEPH W. SCERBO, DPM
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 11/28/2011
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Provider Practice Location Address
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Address Line | 1205 EASTON AVE
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City | SOMERSET
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State | NJ
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Zip | 08873-1672
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Country | US
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Telephone | 732-545-2127
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Fax | 732-545-2089
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Provider Business Mailing Address
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Address Line | 1205 EASTON AVE
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City | SOMERSET
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State | NJ
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Zip | 08873-1672
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Country | US
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Telephone | 732-545-2127
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Fax | 732-545-2089
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH WILLIAM SCERBO
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Credential | DPM
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Telephone | 732-545-2127
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 25MD00167500
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License Number State | NJ
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