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General NPI Number Information
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NPI Number | 1740571678
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Entity Type | Organization
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Legal Business Name | ALLURE PLASTIC SURGERY CENTER, LLC
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Dates
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Enumeration Date | 04/26/2011
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Last Update Date | 04/19/2018
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Provider Practice Location Address
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Address Line | 194 ROUTE 35
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City | RED BANK
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State | NJ
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Zip | 07701-5935
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Country | US
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Telephone | 732-483-1800
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Fax | 732-483-1622
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Provider Business Mailing Address
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Address Line | PO BOX 399
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-0399
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Country | US
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Telephone | 732-483-1800
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Fax | 732-483-1622
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN M. TAYLOR
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Credential | M.D.
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Telephone | 732-483-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 25MAO6218600
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License Number State | NJ
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