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General NPI Number Information
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NPI Number | 1780631648
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Entity Type | Organization
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Legal Business Name | MACAIONE & PAPA DERMATOLOGY ASSOCIATES, PA
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 707 WHITE HORSE RD SUITE C103
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City | VOORHEES
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State | NJ
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Zip | 08043-2461
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Country | US
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Telephone | 856-627-1900
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Fax | 856-627-6907
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Provider Business Mailing Address
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Address Line | 707 WHITE HORSE RD SUITE C103
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City | VOORHEES
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State | NJ
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Zip | 08043-2461
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Country | US
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Telephone | 856-627-1900
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Fax | 856-627-6907
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTINE A PAPA
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Credential | DO
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Telephone | 856-627-1900
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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 | MB70671
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License Number State | NJ
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