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NPI 1629463351

NPI 1629463351 : ROTHMAN INSTITUTE OF NEW JERSEY,P.A : HAMMONTON, NJ

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General NPI Number Information
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    NPI Number           |    1629463351
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROTHMAN INSTITUTE OF NEW JERSEY,P.A 
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Dates
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    Enumeration Date     |    03/31/2015
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    Last Update Date     |    06/16/2015
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Provider Practice Location Address
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    Address Line         |    219 N WHITE HORSE PIKE 
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    City                 |    HAMMONTON
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    State                |    NJ
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    Zip                  |    08037-1896
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    Country              |    US
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    Telephone            |    856-286-4229
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    Fax                  |    609-704-7301
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Provider Business Mailing Address
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    Address Line         |    219 N WHITE HORSE PIKE 
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    City                 |    HAMMONTON
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    State                |    NJ
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    Zip                  |    08037-1896
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    Country              |    US
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    Telephone            |    856-286-4229
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    Fax                  |    609-704-7301
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     MICHAEL E WEST 
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    Credential           |    
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    Telephone            |    800-321-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    
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    License Number State |    
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