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General NPI Number Information
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NPI Number | 1801820196
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Entity Type | Organization
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Legal Business Name | FAMILY PRACTICE ASSOCIATES, P.A.
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 07/13/2010
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Provider Practice Location Address
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Address Line | 16 POCONO RD SUITE 110
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City | DENVILLE
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State | NJ
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Zip | 07834-2905
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Country | US
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Telephone | 973-586-3700
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Fax | 973-586-8666
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Provider Business Mailing Address
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Address Line | 16 POCONO RD SUITE 110
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City | DENVILLE
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State | NJ
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Zip | 07834-2905
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Country | US
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Telephone | 973-586-3700
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Fax | 973-586-8666
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JOHN HO
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Credential | M.D.
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Telephone | 973-586-3700
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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 | 25MA06559300
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License Number State | NJ
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