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General NPI Number Information
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NPI Number | 1669414017
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Entity Type | Organization
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Legal Business Name | MERCER INFECTIOUS DISEASE ASSOC
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 40 FULD ST SUITE 203
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City | TRENTON
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State | NJ
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Zip | 08638-5247
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Country | US
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Telephone | 609-394-6245
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Fax | 302-239-2105
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Provider Business Mailing Address
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Address Line | 40 FULD ST SUITE 203
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City | TRENTON
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State | NJ
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Zip | 08638-5247
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Country | US
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Telephone | 609-394-6245
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Fax | 302-239-2105
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Authorized Official
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Title or Position | PROVIDER
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Name | NIGAHUS KARABULUT
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Credential | M.D.
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Telephone | 609-394-6245
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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