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General NPI Number Information
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NPI Number | 1881929669
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Entity Type | Organization
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Legal Business Name | ST. JOSEPH'S FACULTY PHYSICIANS INC
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Dates
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Enumeration Date | 10/12/2009
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Last Update Date | 03/24/2017
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Provider Practice Location Address
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Address Line | 703 MAIN ST
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City | PATERSON
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State | NJ
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Zip | 07503-2621
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Country | US
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Telephone | 973-754-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 703 MAIN ST BLDG 400 PHYSICIAN BILLING DEPARTMENT
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City | PATERSON
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State | NJ
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Zip | 07503-2621
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Country | US
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Telephone | 973-754-2000
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Fax |
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Authorized Official
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Title or Position | CONTROLLER
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Name | JOANNE DUNAY
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Credential |
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Telephone | 973-754-2016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | NJ
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