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General NPI Number Information
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NPI Number | 1841204104
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Entity Type | Individual
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Provider Name | SONIA C. G. LAUMBACH MD
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Gender | Female
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 01/13/2011
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Provider Practice Location Address
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Address Line | 317 GEORGE ST 1ST FLOOR
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-2008
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Country | US
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Telephone | 732-235-8993
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Fax | 732-246-7317
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Provider Business Mailing Address
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Address Line | 66 W GILBERT ST 2ND FLOOR
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City | TINTON FALLS
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State | NJ
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Zip | 07701-4947
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Country | US
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Telephone | 732-212-0051
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Fax | 732-212-0713
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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 | 25MA07381400
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License Number State | NJ
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