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General NPI Number Information
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NPI Number | 1760565071
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Entity Type | Individual
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Provider Name | JON W SLOTOROFF DO
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 11/27/2009
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Provider Practice Location Address
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Address Line | 48 ANSLEY BLVD SEASHORE MEDICAL ASSOC
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City | PLEASANTVILLE
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State | NJ
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Zip | 08232-3058
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Country | US
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Telephone | 609-641-1077
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Fax | 609-641-1023
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Provider Business Mailing Address
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Address Line | 48 ANSLEY BLVD
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City | PLEASANTVILLE
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State | NJ
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Zip | 08232-3058
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Country | US
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Telephone | 609-641-1077
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Fax | 609-641-1023
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MB32790
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License Number State | NJ
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