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General NPI Number Information
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NPI Number | 1609692268
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Entity Type | Organization
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Legal Business Name | INOPS MEDICAL GROUP L.L.C.
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Dates
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Enumeration Date | 11/28/2024
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Last Update Date | 11/28/2024
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Provider Practice Location Address
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Address Line | 2500 BRUNSWICK AVE STE 102
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-4134
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Country | US
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Telephone | 609-728-9600
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Fax | 609-728-9600
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Provider Business Mailing Address
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Address Line | 2500 BRUNSWICK AVE STE 102
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-4134
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Country | US
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Telephone | 609-728-9600
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Fax | 609-728-9600
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JOSEPH DURKHEIM MOISE
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Credential | APN
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Telephone | 908-986-6071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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