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General NPI Number Information
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NPI Number | 1689826109
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Entity Type | Organization
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Legal Business Name | HOUSE PHYSICIANS OF CHILTON, LLC
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Dates
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Enumeration Date | 10/15/2008
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Last Update Date | 10/15/2008
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Provider Practice Location Address
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Address Line | 97 W PARKWAY
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City | POMPTON PLAINS
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State | NJ
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Zip | 07444-1647
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Country | US
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Telephone | 973-831-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 54 NICOLE DR
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City | DENVILLE
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State | NJ
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Zip | 07834-9531
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Country | US
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Telephone | 201-650-1855
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Fax | 973-366-4315
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. GENNARO J MARINO
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Credential | DO
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Telephone | 201-650-1855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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