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General NPI Number Information
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NPI Number | 1790799492
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Entity Type | Individual
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Provider Name | FELIX PHILLIP FOSCHETTI JR. D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 23 W CHURCH ST
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City | WASHINGTON
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State | NJ
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Zip | 07882-2000
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Country | US
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Telephone | 908-689-7172
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Fax |
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Provider Business Mailing Address
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Address Line | 1039 BUTLERS PARK RD
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City | WASHINGTON
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State | NJ
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Zip | 07882-2470
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Country | US
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Telephone | 908-689-7171
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MB02638600
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License Number State | NJ
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