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General NPI Number Information
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NPI Number | 1649312620
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Entity Type | Organization
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Legal Business Name | BURLINGTON COUNTY
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 02/04/2009
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Provider Practice Location Address
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Address Line | 15 PIONEER BLVD
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City | WESTAMPTON
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State | NJ
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Zip | 08060-3825
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Country | US
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Telephone | 609-265-5548
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6000
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City | MT. HOLLY
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State | NJ
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Zip | 08060
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Country | US
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Telephone | 609-265-5548
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Fax | 609-265-3152
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Authorized Official
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Title or Position | FISCAL OFFICER
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Name | MS. INGRID G. KOZMIN
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Credential |
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Telephone | 609-265-5548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 70391
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License Number State | NJ
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