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General NPI Number Information
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NPI Number | 1710343207
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Entity Type | Organization
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Legal Business Name | CENTRAL JERSEY MEDICAL GROUP LLC
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Dates
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Enumeration Date | 01/13/2016
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Last Update Date | 01/18/2016
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Provider Practice Location Address
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Address Line | 2115 N WOOD AVE
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City | LINDEN
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State | NJ
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Zip | 07036-3739
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Country | US
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Telephone | 908-688-0133
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Fax |
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Provider Business Mailing Address
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Address Line | 2115 N WOOD AVE
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City | LINDEN
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State | NJ
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Zip | 07036-3739
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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 | MANAGER
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Name | NARENDRA PATEL
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Credential |
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Telephone | 908-688-0133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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