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General NPI Number Information
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NPI Number | 1598941452
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Entity Type | Organization
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Legal Business Name | ANITA A. KUBAL, M.D., P.A.
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 1000 ROUTE 34 SUITE 100
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City | MATAWAN
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State | NJ
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Zip | 07747-3473
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Country | US
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Telephone | 732-583-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 ROUTE 34 SUITE 100
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City | MATAWAN
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State | NJ
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Zip | 07747-3473
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Country | US
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Telephone | 732-583-0100
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. CHERYL COHEN
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Credential |
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Telephone | 732-583-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 25MA03958900
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License Number State | NJ
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