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General NPI Number Information
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NPI Number | 1841636651
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Entity Type | Organization
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Legal Business Name | AMER OB/GYN ASSOCIATES PC
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Dates
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Enumeration Date | 05/20/2013
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Last Update Date | 05/20/2013
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Provider Practice Location Address
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Address Line | 900 W MAIN ST SUITE 3
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City | FREEHOLD
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State | NJ
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Zip | 07728-2523
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Country | US
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Telephone | 732-294-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 900 W MAIN ST SUITE 3
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City | FREEHOLD
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State | NJ
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Zip | 07728-2523
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Country | US
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Telephone | 732-294-5600
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | MS. GINA SASAKI
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Credential |
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Telephone | 516-520-8551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA61775
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License Number State | NJ
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