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General NPI Number Information
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NPI Number | 1760541007
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Entity Type | Individual
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Provider Name | ROBERT LANCE STERNER PHD, ATC
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Gender | Male
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 201 MULLICA HILL RD
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City | GLASSBORO
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State | NJ
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Zip | 08028-1700
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Country | US
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Telephone | 856-981-3813
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Fax |
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Provider Business Mailing Address
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Address Line | 87 APPLETREE LN
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City | SEWELL
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State | NJ
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Zip | 08080-3024
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Country | US
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Telephone | 856-981-3813
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 25MT00109000
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License Number State | NJ
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