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General NPI Number Information
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NPI Number | 1700809092
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Entity Type | Organization
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Legal Business Name | ATLANTIC EMERGENCY PHYSICIAN TEAM PEDIATRIC ASSOCIATES, P.C.
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 435 HURFFVILLE CROSS KEYS RD
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-2453
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Country | US
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Telephone | 856-582-2500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 634823
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City | CINCINNATI
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State | OH
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Zip | 45263-4823
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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 | DIRECTOR
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Name | ROBIN TRACCI MOUGANIS
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Credential |
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Telephone | 856-686-4394
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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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