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General NPI Number Information
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NPI Number | 1609169952
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Entity Type | Organization
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Legal Business Name | CATHERINE E. GLEASON, MD. LLC
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Dates
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Enumeration Date | 05/19/2011
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Last Update Date | 05/19/2011
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Provider Practice Location Address
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Address Line | 121 STATE ROUTE 31 SUITE 600
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City | FLEMINGTON
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State | NJ
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Zip | 08822-5744
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Country | US
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Telephone | 908-483-9931
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Fax | 908-483-9932
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Provider Business Mailing Address
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Address Line | 121 STATE ROUTE 31 SUITE 600
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City | FLEMINGTON
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State | NJ
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Zip | 08822-5744
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Country | US
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Telephone | 908-483-9931
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Fax | 908-483-9932
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Authorized Official
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Title or Position | OWNER
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Name | CATHERINE ELIZABETH GLEASON
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Credential | M.D.
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Telephone | 908-483-9931
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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 | 25MA079737000
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License Number State | NJ
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