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General NPI Number Information
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NPI Number | 1720080203
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Entity Type | Organization
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Legal Business Name | SOUTH JERSEY CARDIOLOGY, P.C.
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Dates
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Enumeration Date | 08/14/2005
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Last Update Date | 12/22/2009
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Provider Practice Location Address
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Address Line | 1203 N HIGH ST UNIT B
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City | MILLVILLE
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State | NJ
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Zip | 08332-2530
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Country | US
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Telephone | 856-293-7466
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Fax | 856-293-7472
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Provider Business Mailing Address
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Address Line | 1203 N HIGH ST UNIT B
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City | MILLVILLE
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State | NJ
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Zip | 08332-2530
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Country | US
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Telephone | 856-293-7466
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Fax | 856-293-7472
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARRY E SHAPIRO
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Credential | D.O.
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Telephone | 856-293-7466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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