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General NPI Number Information
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NPI Number | 1700085883
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Entity Type | Individual
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Provider Name | ROBERT J VOSATKA MD PHD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 12/06/2012
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Provider Practice Location Address
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Address Line | 151 ROUTE 10 SUITE 105
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City | SUCCASUNNA
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State | NJ
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Zip | 07876-1452
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Country | US
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Telephone | 973-584-0002
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Fax | 973-584-7107
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Provider Business Mailing Address
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Address Line | 402 LIPPINCOTT DR
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City | MARLTON
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State | NJ
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Zip | 08053-4112
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Country | US
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Telephone | 856-782-3300
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Fax | 856-504-8029
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | 175626
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 175626
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 175626
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA06903600
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License Number State | NJ
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