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General NPI Number Information
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NPI Number | 1609942341
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Entity Type | Organization
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Legal Business Name | PLANNED PARENTHOOD OF CENTRAL AND GREATER NORTHERN NJ
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 03/02/2012
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Provider Practice Location Address
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Address Line | 203 SOUTH MAIN STREET
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City | MANVILLE
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State | NJ
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Zip | 08835
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Country | US
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Telephone | 908-231-9230
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Fax | 908-231-1565
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Provider Business Mailing Address
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Address Line | 196 SPEEDWELL AVENUE
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City | MORRISTOWN
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State | NJ
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Zip | 07960
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Country | US
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Telephone | 973-539-9580
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Fax | 973-539-3828
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Authorized Official
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Title or Position | CFO
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Name | MS. LORI GOLDMAN
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Credential |
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Telephone | 973-539-9580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | D06615804
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number | 31D0111811
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License Number State | NJ
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