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General NPI Number Information
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NPI Number | 1699610535
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Entity Type | Organization
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Legal Business Name | RWJBH ASSOCIATES 2, LLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 254 EASTON AVE
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1766
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Country | US
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Telephone | 276-701-0639
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Fax |
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Provider Business Mailing Address
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Address Line | 254 EASTON AVE
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1766
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Country | US
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Telephone | 732-235-7406
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Fax |
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | RURIC ANDERSON
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Credential | MD
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Telephone | 276-701-0639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) 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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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