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General NPI Number Information
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NPI Number | 1871789628
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Entity Type | Organization
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Legal Business Name | C. E. PASUPATHY
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Dates
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Enumeration Date | 09/14/2007
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 2950 COLLEGE DR SUITE 1B
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City | VINELAND
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State | NJ
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Zip | 08360-6933
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Country | US
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Telephone | 856-691-7588
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Fax | 856-691-0433
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Provider Business Mailing Address
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Address Line | 2950 COLLEGE DR SUITE 1B
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City | VINELAND
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State | NJ
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Zip | 08360-6933
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Country | US
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Telephone | 856-691-7588
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Fax | 856-691-0433
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | BETTY J GANDY
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Credential |
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Telephone | 856-451-9395
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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 | 25MA03258300
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License Number State | NJ
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