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General NPI Number Information
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NPI Number | 1841553757
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Entity Type | Organization
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Legal Business Name | NORTHERN CENTER FOR PLASTIC SURGERY
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 06/18/2012
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Provider Practice Location Address
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Address Line | 700 E PALISADE AVE 1ST FLOOR
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-3058
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Country | US
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Telephone | 401-952-2214
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Fax |
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Provider Business Mailing Address
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Address Line | 700 E PALISADE AVE 1ST FLOOR
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-3058
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Country | US
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Telephone | 401-952-2214
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AARON M CAPUANO
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Credential | MD
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Telephone | 401-952-2214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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