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General NPI Number Information
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NPI Number | 1629012869
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Entity Type | Individual
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Provider Name | DAVID A LOPRESTI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 570 EGG HARBOR RD STE C4
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City | SEWELL
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State | NJ
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Zip | 08080
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Country | US
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Telephone | 609-267-9400
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Fax | 609-267-9457
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Provider Business Mailing Address
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Address Line | 4 EVES DR STE A100
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City | MARLTON
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State | NJ
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Zip | 08053-3126
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Country | US
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Telephone | 609-267-9400
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Fax | 609-267-9457
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MA62157
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License Number State | NJ
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