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General NPI Number Information
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NPI Number | 1669981221
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Entity Type | Organization
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Legal Business Name | CENTER FOR ARTHRITIS AND OSTEOPOROSIS PC
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Dates
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Enumeration Date | 09/27/2017
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 3100 PRINCETON PIKE STE D
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2300
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Country | US
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Telephone | 609-910-5556
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Fax | 609-250-9124
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Provider Business Mailing Address
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Address Line | 3100 PRINCETON PIKE STE D
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2300
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Country | US
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Telephone | 96-910-5556
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Fax | 609-250-9124
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Authorized Official
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Title or Position | PHYSCIAN
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Name | HUMAIRA N ADENWALLA
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Credential | MD
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Telephone | 609-910-5556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 25MA09055600
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License Number State | NJ
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