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General NPI Number Information
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NPI Number | 1639654106
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Entity Type | Organization
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Legal Business Name | PRINCETON ENT AND SLEEP LLC
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Dates
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Enumeration Date | 10/01/2018
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Last Update Date | 10/01/2018
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Provider Practice Location Address
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Address Line | 10 FORRESTAL RD S STE 206
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City | PRINCETON
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State | NJ
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Zip | 08540-6666
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Country | US
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Telephone | 609-921-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 3327 IDAHO AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20016-3737
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Country | US
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Telephone | 914-262-3798
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GERALD D SUH
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Credential | MD
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Telephone | 609-921-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number |
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License Number State |
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