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General NPI Number Information
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NPI Number | 1710956370
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Entity Type | Organization
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Legal Business Name | CUMBERLAND NEPHROLOGY ASSOCIATES
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1318 S MAIN RD BUILDING #3
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City | VINELAND
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State | NJ
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Zip | 08360-6516
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Country | US
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Telephone | 856-205-9900
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Fax | 856-205-0041
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Provider Business Mailing Address
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Address Line | 1318 S MAIN RD BUILDING #3
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City | VINELAND
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State | NJ
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Zip | 08360-6516
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Country | US
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Telephone | 856-205-9900
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Fax | 856-205-0041
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CATHY DAMICO
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Credential |
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Telephone | 856-205-9900
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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 |
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License Number State |
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