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General NPI Number Information
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NPI Number | 1871978577
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Entity Type | Organization
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Legal Business Name | PRINCETON HEALTHCARE SYSTEM
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Dates
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Enumeration Date | 07/23/2015
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Last Update Date | 07/23/2015
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Provider Practice Location Address
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Address Line | 615 HOPE RD
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City | EATONTOWN
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State | NJ
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Zip | 07724-1277
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Country | US
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Telephone | 848-208-2600
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Fax | 848-208-2601
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Provider Business Mailing Address
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Address Line | 615 HOPE RD
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City | EATONTOWN
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State | NJ
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Zip | 07724-1277
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Country | US
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Telephone | 848-208-2600
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Fax | 848-208-2601
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Authorized Official
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Title or Position | VICE PRESIDENT, OUTPATIENT
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Name | DR. PETER THOMAS
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Credential | PHD
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Telephone | 609-497-3351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State | NJ
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