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General NPI Number Information
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NPI Number | 1689142093
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Entity Type | Organization
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Legal Business Name | PRIMARY CARE OF MERCER AND MONMOUTH COUNTY
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 1374 WHITEHORSE HAMILTON SQUARE RD STE 304
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City | HAMILTON
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State | NJ
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Zip | 08690-3701
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Country | US
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Telephone | 609-838-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 1374 WHITEHORSE HAMILTON SQUARE RD STE 304
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City | HAMILTON
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State | NJ
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Zip | 08690-3701
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Country | US
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Telephone | 609-838-7111
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | CARRIE LIMING
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Credential | APN-C
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Telephone | 609-838-7111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 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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