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General NPI Number Information
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NPI Number | 1649543273
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Entity Type | Organization
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Legal Business Name | PHYSICIANS FOR ALTERNATIVE MEDICINE
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 107 MONMOUTH RD SUITE 104
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City | WEST LONG BRANCH
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State | NJ
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Zip | 07764-1000
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Country | US
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Telephone | 732-542-2638
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Fax | 732-542-2620
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Provider Business Mailing Address
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Address Line | 107 MONMOUTH RD SUITE 104
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City | WEST LONG BRANCH
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State | NJ
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Zip | 07764-1000
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Country | US
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Telephone | 732-542-2638
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Fax | 732-542-2620
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JUDITH VOLPE
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Credential | M.D.
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Telephone | 732-542-2638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC01012000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 25MA04904900
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License Number State | NJ
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