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General NPI Number Information
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NPI Number | 1740407923
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Entity Type | Organization
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Legal Business Name | NEPHROLOGICAL ASSOCIATES, PA
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 83 HANOVER ROAD SUITE 290
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1520
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Country | US
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Telephone | 973-736-2212
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Fax | 973-736-2989
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Provider Business Mailing Address
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Address Line | 83 HANOVER ROAD SUITE 290
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-1520
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Country | US
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Telephone | 973-736-2212
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Fax | 973-736-2989
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MS. FRANCES A ANNETTE
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Credential | MS, RN
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Telephone | 973-736-2212
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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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