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General NPI Number Information
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NPI Number | 1821699984
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Entity Type | Organization
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Legal Business Name | CAPITAL HEALTH OCCUPATIONAL HEALTH CENTER
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Dates
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Enumeration Date | 11/05/2020
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 4065 QUAKERBRIDGE RD STE 104
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City | PRINCETON JUNCTION
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State | NJ
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Zip | 08550-5243
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Country | US
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Telephone | 609-689-5750
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Fax | 609-689-5749
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Provider Business Mailing Address
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Address Line | PO BOX 28123
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City | BELFAST
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State | ME
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Zip | 04915-2033
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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 | CFO
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Name | SHANE FLEMING
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Credential |
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Telephone | 609-815-7815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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