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General NPI Number Information
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NPI Number | 1619215852
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Entity Type | Organization
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Legal Business Name | SARNELLE DIAGNOSTIC LLC
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Dates
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Enumeration Date | 01/23/2013
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Last Update Date | 01/23/2013
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Provider Practice Location Address
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Address Line | 15 DAVIS CT
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City | MARTINSVILLE
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State | NJ
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Zip | 08836-2316
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Country | US
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Telephone | 732-264-2141
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Fax | 732-264-7846
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Provider Business Mailing Address
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Address Line | PO BOX 230306
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City | BROOKLYN
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State | NY
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Zip | 11223-0306
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Country | US
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Telephone | 732-264-9437
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH SARNELLE
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Credential | M. D.,
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Telephone | 732-264-9437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 25MA04021900
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License Number State | NJ
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