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General NPI Number Information
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NPI Number | 1679587968
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Entity Type | Organization
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Legal Business Name | ATLANTICARE PHYSICIAN GROUP
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 459 ROUTE 9 S
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City | LITTLE EGG HARBOR
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State | NJ
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Zip | 08087-2225
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Country | US
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Telephone | 609-407-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 ENGLISH CREEK AVE BUILDING B
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City | EGG HARBOR TOWNSHIP
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State | NJ
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Zip | 08234-5549
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. DONALD J PARKER
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Credential | MSW
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Telephone | 609-272-6393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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