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General NPI Number Information
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NPI Number | 1881692036
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Entity Type | Organization
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Legal Business Name | SAINT BARNABAS OUTPATIENT CENTERS
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 200 S ORANGE AVE
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City | LIVINGSTON
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State | NJ
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Zip | 07039-5817
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Country | US
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Telephone | 973-322-7700
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Fax | 973-322-7397
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Provider Business Mailing Address
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Address Line | 1050 GALLOPING HILL RD
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City | UNION
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State | NJ
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Zip | 07083-7983
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Country | US
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Telephone | 908-206-2231
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Fax | 973-322-2237
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Authorized Official
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Title or Position | AVP OF FINANCE
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Name | MR. GREGORY A. ALBAN
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Credential |
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Telephone | 973-322-7331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number | 70786
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number | 70786
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 70786
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License Number State | NJ
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