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General NPI Number Information
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NPI Number | 1659377349
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Entity Type | Individual
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Provider Name | MARK S. NEMIROFF MD
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Gender | Male
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | ONE COOPER PLAZA COOPER ANESTHESIA ASSOCIATES
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City | CAMDEN
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State | NJ
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Zip | 08103
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Country | US
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Telephone | 856-342-2425
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Fax | 856-968-8239
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST STE SW200
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City | CAMDEN
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State | NJ
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Zip | 08103-1155
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Country | US
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Telephone | 856-968-7433
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD-036712-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MA03319600
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License Number State | NJ
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