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General NPI Number Information
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NPI Number | 1881741379
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Entity Type | Organization
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Legal Business Name | OVERLOOK CARDIAC TESTING
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 06/10/2009
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Provider Practice Location Address
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Address Line | 99 BEAUVOIR AVENUE
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City | SUMMIT
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State | NJ
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Zip | 07902
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Country | US
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Telephone | 908-522-2180
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Fax | 908-522-4603
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Provider Business Mailing Address
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Address Line | PO BOX 48142
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City | NEWARK
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State | NJ
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Zip | 07101-4842
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Country | US
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Telephone | 908-522-2180
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Fax | 908-522-4603
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Authorized Official
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Title or Position | PRESIDENT - BOARD OF DIRECTORS
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Name | DR. STEVEN J SHERIS
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Credential | MD
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Telephone | 908-522-2180
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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 |
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License Number State |
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