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General NPI Number Information
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NPI Number | 1710029046
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Entity Type | Organization
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Legal Business Name | PRINCETON HEALTHCARE SYSTEM, A NEW JERSEY NON-PROFIT CORPORATION
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 79 BAYARD LN
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City | PRINCETON
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State | NJ
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Zip | 08540-3045
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Country | US
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Telephone | 609-497-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 79 BAYARD LN
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City | PRINCETON
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State | NJ
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Zip | 08540-3045
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Country | US
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Telephone | 609-497-3000
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. BRUCE TRAUB
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Credential |
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Telephone | 609-497-4107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | NJ
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