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General NPI Number Information
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NPI Number | 1720312101
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Entity Type | Organization
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Legal Business Name | LAWRENCEVILLE INTERNAL MEDICINE ASSOC, LLC
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Dates
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Enumeration Date | 10/01/2009
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Last Update Date | 10/01/2009
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Provider Practice Location Address
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Address Line | 3100 PRINCETON PIKE BUILDING 4 SUITE I
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2300
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Country | US
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Telephone | 609-896-0303
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 PRINCETON PIKE BUILDING 4 SUITE I
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2300
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Country | US
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Telephone | 609-896-0303
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SARAH WERBEL
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Credential | M.D.
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Telephone | 609-896-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | MA080140
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License Number State | NJ
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