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General NPI Number Information
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NPI Number | 1891063921
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Entity Type | Organization
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Legal Business Name | LESLIE SOJKA, MD, PA
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Dates
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Enumeration Date | 12/04/2011
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Last Update Date | 12/04/2011
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Provider Practice Location Address
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Address Line | 495 IRON BRIDGE RD SUITE 4
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City | FREEHOLD
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State | NJ
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Zip | 07728-3069
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Country | US
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Telephone | 732-462-4040
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Fax | 732-308-3495
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Provider Business Mailing Address
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Address Line | 495 IRON BRIDGE RD SUITE 4
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City | FREEHOLD
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State | NJ
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Zip | 07728-3069
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Country | US
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Telephone | 732-462-4040
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Fax | 732-308-3495
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. BARBARA PERRY
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Credential |
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Telephone | 732-462-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 25MA04241000
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License Number State | NJ
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