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General NPI Number Information
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NPI Number | 1710096920
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Entity Type | Organization
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Legal Business Name | RAHWAY MEDICAL AND NEPHROLOGY P.A.
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 307 GROVE ST
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City | RAHWAY
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State | NJ
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Zip | 07065-2525
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Country | US
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Telephone | 732-382-3390
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Fax | 732-382-5206
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Provider Business Mailing Address
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Address Line | 307 GROVE ST
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City | RAHWAY
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State | NJ
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Zip | 07065-2525
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Country | US
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Telephone | 732-382-3390
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Fax | 732-382-5206
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARTHUR F SANTIAGO
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Credential | M.D.
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Telephone | 732-382-3390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MA052276
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License Number State | NJ
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