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General NPI Number Information
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NPI Number | 1649296310
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Entity Type | Individual
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Provider Name | ANTHONY CARLINO M.D./PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 94 OLD SHORT HILLS RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5672
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Country | US
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Telephone | 973-322-5643
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Fax |
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Provider Business Mailing Address
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Address Line | 1283 WHITE OAK RD
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City | SCOTCH PLAINS
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State | NJ
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Zip | 07076-4645
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Country | US
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Telephone | 908-447-7093
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA07620600
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License Number State | NJ
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