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General NPI Number Information
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NPI Number | 1780069864
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Entity Type | Individual
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Provider Name | TINA MICHELLE SLOVER MD
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Gender | Female
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Dates
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Enumeration Date | 07/30/2015
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 6500 K JOHNSON BLVD STE 100A
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City | BORDENTOWN
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State | NJ
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Zip | 08505-2282
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Country | US
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Telephone | 609-444-5410
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Fax | 609-444-5411
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Provider Business Mailing Address
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Address Line | 301 LIPPINCOTT DR STE 410
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City | MARLTON
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State | NJ
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Zip | 08053-4197
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Country | US
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Telephone | 609-444-5410
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Fax | 609-444-5411
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA12148600
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License Number State | NJ
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