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General NPI Number Information
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NPI Number | 1780287326
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Entity Type | Organization
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Legal Business Name | PERFORMANCE MEDICAL GROUP OF SOMERSET
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 04/21/2021
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Provider Practice Location Address
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Address Line | 454 ELIZABETH AVE
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City | SOMERSET
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State | NJ
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Zip | 08873-5111
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Country | US
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Telephone | 908-756-2424
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Fax | 908-546-7978
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Provider Business Mailing Address
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Address Line | 1011 US HIGHWAY 22 STE 203
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2979
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Country | US
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Telephone | 908-756-2424
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Fax | 908-450-2500
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | ASHLEY FINER
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Credential |
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Telephone | 908-756-2424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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