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General NPI Number Information
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NPI Number | 1740238062
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Entity Type | Organization
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Legal Business Name | CAPITAL HEALTH SYSTEM
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 08/18/2010
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Provider Practice Location Address
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Address Line | 1235 WHITEHORSE MERCERVILLE ROAD BLDG C SUITE 301
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City | HAMILTON
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State | NJ
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Zip | 08619
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Country | US
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Telephone | 609-896-5970
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Fax | 609-896-5973
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Provider Business Mailing Address
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Address Line | P.O. BOX 8500-2601
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City | PHILADELPHIA
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State | PA
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Zip | 19178-2601
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Country | US
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Telephone | 609-815-7810
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Fax | 609-815-7814
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Authorized Official
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Title or Position | VP AMBULATORY SERVICES DIVISION
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Name | NATHAN BOSK
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Credential |
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Telephone | 609-278-5438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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