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General NPI Number Information
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NPI Number | 1801047667
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Entity Type | Individual
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Provider Name | JASON NICHOLAS PRAGER MD
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Gender | Male
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 11/18/2013
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Provider Practice Location Address
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Address Line | 435 SOUTH ST SUITE 390
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6422
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Country | US
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Telephone | 973-971-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 416457
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City | BOSTON
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State | MA
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Zip | 02241-6457
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 60263135
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 25MA09137900
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License Number State | NJ
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